Hartford Dispensary
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Hartford, CT
NPI 1104949973 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104949973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- C-0249 (CT)
- Legal business name
- HARTFORD DISPENSARY
- Practice address
- 345 Main St
Hartford, CT 06106-1824 - Phone
- (860) 525-2181
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Paul McLaughlin, MA
- Title
- Executive Director
- Phone
- (860) 525-2181
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 5
Practitioners 73
-
Rachael Benoit, MFT
-
Ray T. Bishop, L.A.D.C
-
Gabrielle L Gelinas, LPC
-
Juan Carlos Lopez, LCSW
-
Annemarie H Lucas, LPC
-
Kelly Lynn O'Heron, LADC
-
Kaitlyn Tetreault, LPC, LADC
-
Kenneth Eugene Williams, LPC, LADC
-
Veronica Adamita, LPCA
-
Shannon Arnone, LPC
-
Lisa Marie Besek, LADC
-
Stefanie Cervero, LCSW, LADC
-
Sara Cyr, LCSW
-
Madison Feshler, LPC
-
Alysia Fox, LPC, ATR
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240729000909 | CT | Part B Supplier - Clinic/Group Practice | 4789010984 |
Receives reassigned benefits from 51 practitioners 1 other NPI on this enrollment Practice locations: Willimantic, CT; Torrington, CT; Norwich, CT; New London, CT; New Britain, CT; Middletown, CT; Manchester, CT; Hartford, CT… |
National Provider Directory
- Tax ID family
- Hartford Dispesary
Locations
6 Business Park Dr
#12
Branford, CT 06405
Phone (860) 643-3200
1098 Farmington Ave
Bristol, CT 06010
Phone (860) 589-6433
335 Broad St
Manchester, CT 06040
Phone (860) 643-3200
520 Saybrook Rd
Ste 105
Middletown, CT 06457
Phone (203) 314-0179
392 Washington St
Middletown, CT 06457
Phone (860) 791-1023
931 Bank St
New London, CT 06320
Phone (860) 447-2233
772 W Thames St
Ste 2
Norwich, CT 06360
Phone (860) 886-0446
772 W Thames St
Norwich, CT 06360
Phone (860) 800-0244
140 Commercial Blvd
Torrington, CT 06790
Phone (860) 482-8796
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | C-0249 | CT | Yes |
Addresses
Primary practice location
345 Main St
Hartford, CT 06106-1824
Mailing address
345 Main St
Hartford, CT 06106-1824
Phone (860) 525-2181
Other providers in Hartford, CT
- Hartford Community Mental Health Center
- Hartford Community Mental Health Center Inc
- Hartford Community Mental Health Center Inc.
- Hartford Cosmetic Dental Center
- Hartford Dental Care , LLC
- Hartford Dispensary
- Hartford Dispensary
- Hartford Dispensary
- Hartford Dispensary
- Hartford Dispesary
All providers in Hartford, CT · Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.