Healthcare Provider Details

I. General information

NPI: 1174633143
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 WHITNEY AVE
NEW HAVEN CT
06511-2348
US

IV. Provider business mailing address

345 WHITNEY AVE
NEW HAVEN CT
06511-2348
US

V. Phone/Fax

Practice location:
  • Phone: 203-503-0450
  • Fax: 203-437-6293
Mailing address:
  • Phone: 203-503-0450
  • Fax: 203-437-6293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: AMANDA N SKINNER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 203-212-6155