NPIMap

Organization Active NPI

William Gomes

  • Case Management Agency
  • Waterbury, CT
National Provider Identifier
1215220645
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
007396 Issued in CT
Legal business name
WILLIAM GOMES
Practice address
34 Murray St
Waterbury, CT 06710-1920
Phone
(203) 756-8317
Fax
(203) 756-8310
NPI assigned
May 18, 2011
Last updated
Jun 6, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY SERVICES OF GREATER WATERBURYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Ms. Sandra Porteus, MSW
Title
Exec Dir
Phone
(203) 756-8317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 007396 CT Primary

Addresses

Primary practice location

34 Murray St
Waterbury, CT 06710-1920

Mailing address

34 Murray St
Waterbury, CT 06710-1920
Phone (203) 756-8317

National Provider Directory

National Provider Directory
Tax ID family
A Renewed Mind2 organizations share this tax ID, including this one
Part of
Family Service of Greater Waterbury

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1215220645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MURRAY ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101920",
            "telephone_number": "203-756-8317",
            "fax_number": "203-756-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MURRAY ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101920",
            "telephone_number": "203-756-8317",
            "fax_number": "203-756-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM GOMES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY SERVICES OF GREATER WATERBURY",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "PORTEUS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "EXEC DIR",
        "authorized_official_telephone_number": "203-756-8317",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CT",
            "license": "007396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 6, 2011; 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.