NPIMap

Organization Active NPI

McCall Foundation, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Torrington, CT
National Provider Identifier
1043362429
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
C-0245 Issued in CT
Legal business name
MCCALL FOUNDATION, INC.
Practice address
58 High St
Torrington, CT 06790-5106
Phone
(860) 496-2100
Fax
(860) 496-2111
NPI assigned
Jan 17, 2007
Last updated
Oct 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Mrs. Maria Coutant Skinner, LCSW
Title
Executive Director
Phone
(860) 496-2100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MHDT-0025 CT
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X SA-0031 CT
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X C-0245 CT Primary
Substance Abuse Rehabilitation Facility 324500000X SA-0127 CT

Addresses

Primary practice location

58 High St
Torrington, CT 06790-5106

Mailing address

58 High St
P.O. Box 806
Torrington, CT 06790-5106
Phone (860) 496-2100

Other identifiers 1

IdentifierTypeStateIssuer
004159556MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120123000492 CT Part B Supplier - Clinic/Group Practice 0345417929 Receives reassigned benefits from 20 practitioners
4 other NPIs on this enrollment
Practice locations: Torrington, CT; Winsted, CT; Waterbury, CT; Danbury, CT; Canaan, CT

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
McCall Foundation Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1043362429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 HIGH ST",
            "address_2": "P.O. BOX 806",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905106",
            "telephone_number": "860-496-2100",
            "fax_number": "860-496-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 HIGH ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905106",
            "telephone_number": "860-496-2100",
            "fax_number": "860-496-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCALL FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "COUTANT SKINNER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-496-2100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "MHDT-0025",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "SA-0031",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "C-0245",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CT",
            "license": "SA-0127",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004159556",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.