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Boys & Girls Village

Adolescent and Children Mental Health Clinic/Center in Milford, CT · enumerated 2006 · authorized official L. Fellenbaum, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477583581

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Registry record

Entity type Organization (Type 2)
Legal business name Boys & Girls Village
Practice address 528 Wheelers Farms Rd, Milford, CT, 06461
Phone (203) 877-0300
Fax (203) 876-0076
Enumeration date Jul 4, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities · License EDT-10 (CT) Secondary
261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities · License OPCC-38 (CT) Secondary
261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities · License CPA-40 (CT) Primary
323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities · License CCF/TS 17 (CT) Secondary

Authorized official

Name L. Fellenbaum
Title Ceo
Phone (203) 877-0300

Other identifiers

Identifier Type State Issuer
004189173-00 Medicaid CT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.
Where is Boys & Girls Village located?
The practice location on file with NPPES is in Milford, CT.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.