OrganizationActive
Fair Haven Community Health Clinic, Inc
NPI 1588263016 · Multi-Specialty Clinic/Center · New Haven, CT
Provider details
- NPI number
- 1588263016
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Fair Haven Community Health Clinic, Inc
- Organization subpart
- Yes
- Authorized official
- Yolymar Herrera, Credentialing Manager(203) 777-7411
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
150 Sargent Dr Ste 1-300
New Haven, CT 06511-6100
Phone: (203) 777-7411
Fax: (203) 497-1887
Street-level locationGet directions
Mailing address
374 Grand Ave
New Haven, CT 06513-3733
Other names (DBA / former)
- Other name
- Fair Haven Community Health Care at 150 Sargent Drive
Registry dates
- Enumerated
- 2020-10-26
- Last updated
- 2020-10-26
- Certified
- 2020-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.