Active NPI
Natchaug Hospital
- Psychiatric Hospital
- Vernon, CT
National Provider Identifier
1003190950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- NATCHAUG HOSPITAL
- Practice address
- 428 Hartford Tpke
Suite 105
Vernon, CT 06066-4841 - Phone
- (860) 870-0119
- Fax
- (860) 870-0122
- NPI assigned
- Oct 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Maloney
- Title
- Chief Financial Officer
- Phone
- (860) 456-1311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Primary |
Addresses
Primary practice location
428 Hartford Tpke
Suite 105
Vernon, CT 06066-4841
Mailing address
189 Storrs Rd
Mansfield Center, CT 06250-1683
National Provider Directory
National Provider Directory- Tax ID family
- Natchaug Hospital
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Putnam, CT
- NPI 1003145582
-
- Marriage & Family Therapist
- Mansfield Center, CT
- NPI 1366773525
-
- Psychiatric Hospital
- Uncasville, CT
- NPI 1477793693
-
- Psychiatric Hospital Unit
- Mansfield Center, CT
- NPI 1891027728
Locations
428 Hartford Tpke
Ste 105
Vernon, CT 06066
Phone (860) 870-0119
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Mansfield Center, CT
- NPI 1154606184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318204800000",
"number": "1003190950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 STORRS RD",
"city": "MANSFIELD CENTER",
"state": "CT",
"postal_code": "062501683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 HARTFORD TPKE",
"address_2": "SUITE 105",
"city": "VERNON",
"state": "CT",
"postal_code": "060664841",
"telephone_number": "860-870-0119",
"fax_number": "860-870-0122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATCHAUG HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-10",
"last_updated": "2011-10-10",
"status": "A",
"authorized_official_last_name": "MALONEY",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "860-456-1311",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.