NPIMap

Organization Active NPI

Natchaug Hospital

  • Psychiatric Hospital
  • Mansfield Center, CT
National Provider Identifier
1164785101
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
NATCHAUG HOSPITAL
Practice address
1010 Warrenville Rd
Mansfield Center, CT 06250-1023
Phone
(860) 429-2463
NPI assigned
Jun 22, 2012
Last updated
Jun 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Mr. Teodoro Anderson Diaz, LCSW
Title
Director
Phone
(860) 456-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

1010 Warrenville Rd
Mansfield Center, CT 06250-1023

Mailing address

1010 Warrenville Rd
Mansfield Center, CT 06250-1023
Phone (860) 429-2463

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1164785101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WARRENVILLE RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501023",
            "telephone_number": "860-429-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WARRENVILLE RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501023",
            "telephone_number": "860-429-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHAUG HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON DIAZ",
        "authorized_official_first_name": "TEODORO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-456-1311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield Center, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.