ASPIRE365 CONNECTICUT – NPI #1053086587
Preventive Medicine

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

ASPIRE365 CONNECTICUT is a provider located in NEW HAVEN, CT. NPPES has assigned the NPI number 1053086587 to ASPIRE365 CONNECTICUT on August 16, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083A0300X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Addiction Medicine Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Oct 14, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASPIRE365 CONNECTICUT below.

NPI Profile for
ASPIRE365 CONNECTICUT

NPI Number
1053086587
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ASPIRE365 CONNECTICUT
Primary location
679 STATE ST
NEW HAVEN, CT 06511-6509
Phone: (385) 352-9696 Fax:
Mailing address
9350 S 150 E STE 320
SANDY, UT 84070-2707
Phone: (385) 352-9696 Fax:
Organization Subpart
No
Authorized Official
ZACHARY JENSON
CEO
Phone: (801) 556-1977
Updated
Certification Date
Oct 14, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.