Provider Demographics
NPI:1619258449
Name:NAFI CONNECTICUT INC.
Entity Type:Organization
Organization Name:NAFI CONNECTICUT INC.
Other - Org Name:NAFI/NFI
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-882-4868
Mailing Address - Street 1:49 WETHERSFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06114-1102
Mailing Address - Country:US
Mailing Address - Phone:860-284-1177
Mailing Address - Fax:860-284-1125
Practice Address - Street 1:49 WETHERSFIELD AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06114-1102
Practice Address - Country:US
Practice Address - Phone:860-284-1177
Practice Address - Fax:860-284-1125
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH AMERICAN FAMILY INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-07
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC0700X, 253J00000X
CTOPCC-66251S00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008039777Medicaid
NY02842446Medicaid
RI56000522Medicaid