NPIMap

Organization Active NPI

Hartford Dispensary

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hartford, CT
National Provider Identifier
1104949973
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
C-0249 Issued in CT
Legal business name
HARTFORD DISPENSARY
Practice address
345 Main St
Hartford, CT 06106-1824
Phone
(860) 525-2181
NPI assigned
Apr 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Paul McLaughlin, MA
Title
Executive Director
Phone
(860) 525-2181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X C-0249 CT Primary

Addresses

Primary practice location

345 Main St
Hartford, CT 06106-1824

Mailing address

345 Main St
Hartford, CT 06106-1824
Phone (860) 525-2181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Hartford Dispensary6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

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

542 E Main St
New Britain, CT 06051
Phone (860) 827-3313

931 Bank St
New London, CT 06320
Phone (860) 447-2233

772 W Thames St
Norwich, CT 06360
Phone (860) 800-0244

772 W Thames St
Ste 2
Norwich, CT 06360
Phone (860) 886-0446

Practitioners & affiliated clinicians

Practitioners 75

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 75

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104949973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061824",
            "telephone_number": "860-525-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061824",
            "telephone_number": "860-525-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD DISPENSARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-525-2181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "C-0249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.