OrganizationActiveAccepts Medicare
State of Connecticut
NPI 1720013360 · Psychiatric Hospital · Bridgeport, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1720013360
- Entity type
- Organization
- Primary specialty
- Psychiatric HospitalHospitals
- Organization subpart
- No
- Authorized official
- Stephen Dipietro, Chief Financial Officer(860) 418-6923
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1635 Central Ave
Bridgeport, CT 06610
Phone: (203) 551-7660
Fax: (203) 551-7481
Street-level locationGet directions
Mailing address
1635 Central Ave
Bridgeport, CT 06610
Other names (DBA / former)
- Doing business as
- Southwest Connecticut Mental Health System
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2016-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.