Organization
BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ANN MEANEY DNP, MHA, FACHE (PRESIDENT)
(860) 585-3041
Entity
Organization
Contact information
Practice address
15 RIVERSIDE AVE, BRISTOL, CT 06010-6312
(860) 585-9473
(860) 314-2054
Mailing address
PO BOX 2828, BRISTOL, CT 06011-2828
(860) 585-3906
(860) 585-3907
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004188985
—
CT
05
—
004194130
—
CT
05
—
004212982
—
CT
05
—
004253291
—
CT
05
—
004255445
—
CT
05
—
004262804
—
CT
Enumeration date
10/14/2005
Last updated
10/10/2023
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