Healthcare Provider Details

I. General information

NPI: 1538275169
Provider Name (Legal Business Name): CPC ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 10/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 HOSPITAL AVE
DANBURY CT
06810-6021
US

IV. Provider business mailing address

84 HOSPITAL AVE
DANBURY CT
06810-6021
US

V. Phone/Fax

Practice location:
  • Phone: 203-792-0400
  • Fax: 203-792-0404
Mailing address:
  • Phone: 203-792-0400
  • Fax: 203-792-0404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTON FRY
Title or Position: OWNER/PRES
Credential: MD
Phone: 203-792-0400