NPIMap

Organization Active NPI

Day Kimball Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Putnam, CT
National Provider Identifier
1104680966
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DAY KIMBALL HEALTHCARE, INC.
Practice address
320 Pomfret St
Putnam, CT 06260-1836
Phone
(860) 963-6385
NPI assigned
Feb 12, 2024
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DAY KIMBALL HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Peter R NealNPI 1861693376
Title
Director of Behavioral Health
Phone
(860) 753-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

320 Pomfret St
Putnam, CT 06260-1836

Mailing address

320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 963-6385

Other names 1

  • Day Kimball Behavioral Health Services Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041229001007 CT Part B Supplier - Clinic/Group Practice 5092773549 Receives reassigned benefits from 57 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Danielson, CT; Plainfield, CT; Putnam, 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
Day Kimball Hospital on12 organizations share this tax ID, including this one
Part of
Day Kimball Hospital on

Other organizations with this tax ID 11

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

Locations

55 Green Hollow Rd
Danielson, CT 06239
Phone (860) 774-1350

11 Dog Hill Rd
Dayville, CT 06241
Phone (860) 779-0321

68 Ashland St
Jewett City, CT 06351
Phone (860) 376-3796

12 Lathrop Rd
Plainfield, CT 06374
Phone (860) 457-9150

137 Norwich Rd
Plainfield, CT 06374
Phone (860) 564-7602

31 Dow Rd
Plainfield, CT 06374
Phone (860) 564-6200

12 S Main St
Putnam, CT 06260
Phone (860) 928-8360

Practitioners & affiliated clinicians

Practitioners 59

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 59

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1104680966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601836",
            "telephone_number": "860-963-6385"
        },
        {
            "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": "860-963-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAY KIMBALL HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAY KIMBALL HEALTHCARE, INC.",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "860-753-0044"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Day Kimball Behavioral Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 22, 2024; 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.