NPIMap

Organization Active NPI

Catholic Charities Inc - Archdiocese of Hartford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterbury, CT
National Provider Identifier
1154415354
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CATHOLIC CHARITIES INC - ARCHDIOCESE OF HARTFORD
Practice address
56 Church St
Waterbury, CT 06702-2103
Phone
(203) 755-1196
Fax
(203) 575-9675
NPI assigned
Oct 3, 2006
Last updated
Apr 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Rose Alma Senatore
Title
Ceo
Phone
(860) 493-1841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

56 Church St
Waterbury, CT 06702-2103

Mailing address

839 Asylum Ave
Hartford, CT 06105-2801
Phone (860) 493-1841

Other identifiers 5

IdentifierTypeStateIssuer
ANC1423OtherCTOXFORD
004040713MedicaidCT
B000672OtherCTCTGA
77ABH0006CT08OtherCOBC/BS
183459OtherCOHEALTH NET/MHN

Other names 1

  • Catholic Family Services - Archdiocese of Hartford Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000429 CT Part B Supplier - Clinic/Group Practice 2567367469 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Waterbury, CT

Other NPIs with the same Medicare PAC ID 3

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
Catholic Charities22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1154415354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 ASYLUM AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052801",
            "telephone_number": "860-493-1841",
            "fax_number": "860-548-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CHURCH ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022103",
            "telephone_number": "203-755-1196",
            "fax_number": "203-575-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES INC - ARCHDIOCESE OF HARTFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "SENATORE",
        "authorized_official_first_name": "ROSE ALMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-493-1841"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ANC1423",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040713",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CTGA",
            "identifier": "B000672",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "77ABH0006CT08",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET/MHN",
            "identifier": "183459",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Family Services - Archdiocese of Hartford",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.