MEDICARE: CLIFFORD BEERS CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	000689	CT

General Provider Information

NPI Number	:	1700089257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLIFFORD BEERS CLINIC

Provider Business Mailing Address
First Line	:	249 THORNTON ST
Second Line	:
City	:	HAMDEN
State	:	CT
Zip	:	06517-1325
Country	:	US
Telephone Number	:	203-230-5823
Fax Number	:

Provider Business Practice Location Address
First Line	:	370 JAMES ST
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06513-3089
Country	:	US
Telephone Number	:	203-777-8648
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	MS. MARTHA LUCIA PLAZAS
Credential	:	LMFT
Telephone Number	:	203-777-8648

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	08/22/2020

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Directions to “CLIFFORD BEERS CLINIC ” Practice Location

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