Organization
YALE NEW HAVEN HOSPITAL
Active
Other names
yale psychiatric hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES - PEARSON LCSW (SERVICE MANAGER)
(203) 688-9820
Entity
Organization
Contact information
Practice address
184 LIBERTY ST, NEW HAVEN, CT 06519-1625
(203) 688-9801
(203) 688-9860
Mailing address
20 YORK STREET, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510
(203) 688-9801
(203) 688-9860
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
001353
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CT0001353
SW LICENSE
CT
Enumeration date
10/23/2006
Last updated
07/21/2022
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