Organization Active NPI

MC1 Healthcare

  • Substance Abuse Rehabilitation Facility
  • Canaan, CT
National Provider Identifier
1083883177
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MC1 HEALTHCARE
Practice address
187 Route 7
Canaan, CT 06018
Phone
(860) 824-1397
Fax
(860) 824-4021
NPI assigned
Feb 22, 2008
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Mrs. Michelle Williamson
Title
VP, Revenue Cycle
Phone
(860) 362-5232

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X SA0187 CT
Substance Abuse Rehabilitation Facility 324500000X CT Primary

Addresses

Primary practice location

187 Route 7
Canaan, CT 06018

Mailing address

PO Box 717
Canaan, CT 06018
Phone (860) 824-1397

National Provider Directory

National Provider Directory
Tax ID family
MC1 Healthcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1083883177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "06018",
            "telephone_number": "860-824-1397",
            "fax_number": "888-789-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 ROUTE 7",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "06018",
            "telephone_number": "860-824-1397",
            "fax_number": "860-824-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC1 HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "VP, REVENUE CYCLE",
        "authorized_official_telephone_number": "860-362-5232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CT",
            "license": "SA0187",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canaan, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.