Provider Demographics
NPI:1609941731
Name:SELECT BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:SELECT BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALNOOR
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-886-8122
Mailing Address - Street 1:72 NEW LONDON TPKE
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2614
Mailing Address - Country:US
Mailing Address - Phone:860-886-8122
Mailing Address - Fax:860-889-7255
Practice Address - Street 1:72 NEW LONDON TPKE
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2614
Practice Address - Country:US
Practice Address - Phone:860-886-8122
Practice Address - Fax:860-889-7255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000249101YA0400X
CT000536103TC0700X
CT0001281041C0700X
CT0021321041C0700X
CT0013611041C0700X
CT0048321041C0700X
CT0056991041C0700X
CT0025731041C0700X
CT0002301041C0700X
CT0021451041C0700X
CT0056671041C0700X
CT0235492084P0800X
CT001534363LP0808X
CT001589363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
170415OtherMHN GROUP ID
890000483Medicare ID - Type UnspecifiedALICE HARDING, APRN
890000484Medicare ID - Type UnspecifiedSHARON HINTON, APRN
800002293Medicare ID - Type UnspecifiedPETER VAN ARNAM, LCSW
260003468Medicare ID - Type UnspecifiedALNOOR RAMJI, MD
S39849Medicare UPIN
800002294Medicare ID - Type UnspecifiedBARBARA LYNCH, LCSW
800002296Medicare ID - Type UnspecifiedCAROL DOOLEY, LCSW
680001332Medicare ID - Type UnspecifiedRICHARD BLOOM, PHD
800002295Medicare ID - Type UnspecifiedLAURA HESSLEIN, LCSW
170415OtherMHN GROUP ID
P43006Medicare UPIN
D02827Medicare UPIN
800003514Medicare ID - Type UnspecifiedHARRIET PARSONS, LCSW