NPIMap

Organization Active NPI

Natchaug Hospital

  • Substance Abuse Rehabilitation Facility
  • Putnam, CT
National Provider Identifier
1003145582
Registry record updated Dec 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
001670 Issued in CT
Legal business name
NATCHAUG HOSPITAL
Practice address
320 Pomfret St
Putnam, CT 06260-1836
Phone
(860) 963-6416
Fax
(860) 963-6303
NPI assigned
Dec 13, 2009
Last updated
Dec 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mark Anthony Melley, LPC
Title
Primary Therapist
Phone
(860) 963-6416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 001670 CT Primary

Addresses

Primary practice location

320 Pomfret St
Putnam, CT 06260-1836

Mailing address

42 Campbell Ave
Vernon, CT 06066-5404

National Provider Directory

National Provider Directory
Tax ID family
Natchaug Hospital Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260662400000",
    "number": "1003145582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CAMPBELL AVE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601836",
            "telephone_number": "860-963-6416",
            "fax_number": "860-963-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHAUG HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-13",
        "last_updated": "2009-12-13",
        "status": "A",
        "authorized_official_last_name": "MELLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRIMARY THERAPIST",
        "authorized_official_telephone_number": "860-963-6416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CT",
            "license": "001670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.