The Wellspring Foundation, Inc.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

CCF RT 26 Issued in CT

Legal business name

THE WELLSPRING FOUNDATION, INC.

Practice address

21 Arch Bridge Rd.
Bethlehem, CT 06751-0370

Phone

(203) 266-8000

Fax

(203) 266-8030

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Harvey Newman, M.ED

Title

Chief Executive Officer

Phone

(203) 266-8110

Specialties & licenses 4

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

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.

• Kathy A Dowling, LMFT

  • Marriage & Family Therapist
  • Bethlehem, CT
  • NPI 1871929604
  NPD (past)
• David W. Ferguson, LCSW

  • Clinical Social Worker
  • Southbury, CT
  • NPI 1457567919
  NPD (past)
• Sharon R Gomes, LCSW

  • Clinical Social Worker
  • Bethlehem, CT
  • NPI 1578855086
  NPD (past)
• Mirriah Murray, LMFT

  • Marriage & Family Therapist
  • Bethlehem, CT
  • NPI 1679244214
  NPD (past)
• Catherine Nagle, LPC

  • Professional Counselor
  • Bethlehem, CT
  • NPI 1922351667
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1154475184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ARCH BRIDGE RD.",
            "address_2": "P.O. BOX 370",
            "city": "BETHLEHEM",
            "state": "CT",
            "postal_code": "067510370",
            "telephone_number": "203-266-8000",
            "fax_number": "203-266-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ARCH BRIDGE RD.",
            "city": "BETHLEHEM",
            "state": "CT",
            "postal_code": "067510370",
            "telephone_number": "203-266-8000",
            "fax_number": "203-266-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLSPRING FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "203-266-8110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CT",
            "license": "CCF RT 26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040929",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Rauscher, N.P.
• Rebecca a Sakl LMFT PLLC
• Ralph Anthony Santora, P.T.,D.C.
• Samantha Ines Savarino, APRN
• Cheyanne Inez Smith, LMFT
• Towne Apothecary LLC
• Towne RX Inc
• Lisa Zinn Tuz, BCBA CTLBA
• Keith Wade, DMD
• Andrew C. Wells, M.D.

• Psychiatric Residential Treatment Facility in Bethlehem, CT
• Providers in Bethlehem, CT by specialty
• Psychiatric Residential Treatment Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.