Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mystic Medical Associates LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1972954477

Mystic Medical Associates LLC is an Addiction (Substance Use Disorder) Counselor in Mystic, Connecticut. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12 Roosevelt Ave Second Fl
Mystic, CT 06355-2809
Phone: (860) 245-4126
Fax: (860) 245-4128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 230 S Main St., Cheshire, CT 06410-0641 — (860) 245-4126

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1972954477
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Anderson — Aprn · (860) 245-4126
NPI enumeratedJune 27, 2016
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address495 Gold Star Hwy Ste 112, Groton, CT 06340-6229

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