SHORELINE CHRISTIAN COUNSELING – NPI #1033239249
Psychiatry & Neurology
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
SHORELINE CHRISTIAN COUNSELING is a psychiatry & neurologist located in MADISON, CT. NPPES has assigned the NPI number 1033239249 to SHORELINE CHRISTIAN COUNSELING on March 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHORELINE CHRISTIAN COUNSELING” is a dba name, the actual legal business name for this organization is SOUTHERN CT CHRISTIAN NETWORK. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084F0202X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Forensic Psychiatry
The NPI profile was previously updated about 18 years ago on Oct 14, 2008. 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 SHORELINE CHRISTIAN COUNSELING below.
NPI Profile for
SOUTHERN CT CHRISTIAN NETWORK
(more than 19 years ago)
MAILBOX 7
MADISON, CT 06443-2674 Phone: (203) 318-0070 Fax: (206) 339-8205
OFFICE MANAGER
Phone: (203) 318-0700
Identifiers for SHORELINE CHRISTIAN COUNSELING
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | HEALTHNET-MHN | CT | 307875 |
| MEDICAID | CT | 004257532 | |
| MEDICAID | CT | 004257269 | |
| MEDICAID | CT | 004257277 |
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.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2084F0202X - Psychiatry & Neurology / Forensic Psychiatry (Primary) |
CT | 039301 |
| 1041C0700X - Social Worker / Clinical |
CT | 002876 |
| 103TC0700X - Psychologist / Clinical |
CT | 001460 |
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.