BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC.
NPI 1396734109
Counselor, Addiction (substance Use Disorder) in Bristol,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 14, 2005

Contact Information

15 Riverside Ave
Bristol,
Post Code: 06010
Phone: (860) 585-9473
Fax: (860) 314-2054

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Bristol Hospital Multi-specialty Group, Inc. in Bristol - Counselor, Addiction (Substance Use Disorder)

Bristol Hospital Multi-specialty Group, Inc. is a Counselor, Addiction (Substance Use Disorder) in Bristol, . Bristol Hospital Multi-specialty Group, Inc. practices all healthcare services and medical treatments related to Counselor, Addiction (Substance Use Disorder). The NPI Number for Bristol Hospital Multi-specialty Group, Inc. is 1396734109. The last update date is 2023-10-10.

Bristol Hospital Multi-specialty Group, Inc.'s current location address is 15 Riverside Ave, Bristol, . You can contact this provider via phone number (860) 585-9473 and fax number (860) 314-2054. The mailing address for Bristol Hospital Multi-specialty Group, Inc. is 15 Riverside Ave, Bristol, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1396734109
Provider Legal Name
BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC.
Other Organization Name
BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC.
Other Name Type
-
Entity Type
Organization
Location Address
15 Riverside Ave, Bristol,
Location Phone
(860) 585-9473
Location Fax
(860) 314-2054
Mailing Address
Po Box 2828, Bristol, Connecticut(CT)
Mailing Phone
860-585-3906
Mailing Fax
860-585-3907
Enumeration Date
2005-10-14
Last Update Date
2023-10-10
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology, Psychiatry

Taxonomy Code
2084P0800X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 101YA0400X Addiction (Substance Use Disorder) Counselor

Counselor, Addiction (Substance Use Disorder)

()
2 1041C0700X Clinical Social Worker

Social Worker, Clinical

()
3 103T00000X Psychologist

Psychologist

()
4 106H00000X Marriage & Family Therapist

Marriage & Family Therapist

()
5 363LP0808X Psychiatric/Mental Health Nurse Practitioner

Nurse Practitioner, Psych/Mental Health

()
6 364SP0808X Psychiatric/Mental Health Clinical Nurse Specialist

Clinical Nurse Specialist, Psych/Mental Health

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
004188985 MEDICAID (05) Connecticut (CT)
004194130 MEDICAID (05) Connecticut (CT)
004212982 MEDICAID (05) Connecticut (CT)
004253291 MEDICAID (05) Connecticut (CT)
004255445 MEDICAID (05) Connecticut (CT)
004262804 MEDICAID (05) Connecticut (CT)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396734109
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186143810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 23186143810
2 + 3 + 1 + 8 + 6 + 1 + 4 + 3 + 8 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9 9

The NPI number 1396734109 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255334207 RICHARD SOUCIER
Individual
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HARTFORD, Connecticut (CT)
860-714-4820
1316940463 JORGE L. DIEZ
Individual
Internal Medicine, Endocrinology, Diabetes & Metabolism 893 MAIN ST STE 202
EAST HARTFORD, Connecticut (CT)
860-247-2137
1164425351 ALL-MED HEALTHCARE INC
Organization
Durable Medical Equipment & Medical Supplies 101 N PLAINS INDUSTRIAL RD
WALLINGFORD, Connecticut (CT)
203-284-3443
1023011145 MICHAEL THERRIEN
Individual
Internal Medicine, Cardiovascular Disease 1000 ASYLUM AVE
HARTFORD, Connecticut (CT)
860-714-6581
1245233238 STUART R. LIFTIG
Individual
Dentist 10 PRINCETON ST
WEST HARTFORD, Connecticut (CT)
860-232-8466