Organization Active NPI

Connecticut Children's Medical Center

  • Children's Hospital
  • Hartford, CT
National Provider Identifier
1215947387
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
2-CH Issued in CT
Legal business name
CONNECTICUT CHILDREN'S MEDICAL CENTER
Practice address
282 Washington St
Hartford, CT 06106-3322
Phone
(860) 545-8557
NPI assigned
Aug 9, 2006
Last updated
Mar 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CCMC CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Ceci Castro
Title
Interim Chief Financial Officer
Phone
(860) 545-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 2-CH CT Primary

Addresses

Primary practice location

282 Washington St
Hartford, CT 06106-3322

Mailing address

282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9000

Other identifiers 2

IdentifierTypeStateIssuer
4159978MedicaidCT
4159960MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090202000159 CT Part A Provider - Hospital 7618031907 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hartford, CT; Westport, CT; Waterbury, CT; Glastonbury, CT; Farmington, CT; Danbury, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215947387. Details of each certification follow.

Hospital certification: CCN 073300

Legal name
CONNECTICUT CHILDREN'S MEDICAL CENTER
Doing business as
CONNECTICUT CHILDREN'S
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Oct 1, 1983
Last certification
May 28, 2010
Beds
129
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 10, 1985 in CT
Enrollment address
282 Washington St
Hartford, CT 61063322
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Children’s, Short-term, Psychiatric unit

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Connecticut Childrens Medical CenterCCN 073300 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Newington Child Hosp-Su6 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.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michelle Murphy Individual Corporate Director Jan 1, 2021
Robert Duncan Individual Corporate OfficerSVP and Chief Operating Officer Nov 15, 2022
Jennifer Schwab Individual Corporate Director Nov 22, 2024
Dorothy Levine Individual Corporate Director Jan 1, 2018
David Roth Individual Corporate DirectorBoard Chair Jan 1, 2011
Shannon Sullivan Individual Corporate OfficerPresident and Ceo Jan 12, 2026
Corporate DirectorEx-Officio Jan 12, 2026
W-2 Managing EmployeePresident and Ceo Jan 12, 2026
Andrea Balogh Individual Corporate DirectorDirector Jan 1, 2020
Sara Pierce Individual Corporate Director Apr 19, 2023
Christine Bromberg Individual Corporate Director Jul 5, 2025
Christina St. Pierre Individual Corporate DirectorDirector Jan 1, 2019
Robert Burke Magnus Individual Corporate DirectorDirector Sep 1, 2019
Shari Cantor Individual Corporate Director Dec 26, 2023
CCMC Corporation Organization, Hartford, CT Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 30, 1996 100%
Scott Braunstein Individual Corporate DirectorDirector Jan 1, 2020
Otis Maynard Individual Corporate DirectorDirector Jan 1, 2020
Chris Holley Individual Corporate Director Feb 5, 2022
James Fanelli Individual Corporate DirectorVice Chair Jan 1, 2015
Jeffrey Klenk Individual Corporate Director Jan 1, 2023
Eric Palmer Individual Corporate Director Jan 1, 2025
Jonathan Rubin Individual Corporate Director Jan 1, 2017
Cynthia Ryan Individual Corporate Director Jun 16, 2024
Steven Solecki Individual Corporate Director Jan 20, 2023
Frank Ferrucci Individual Corporate Director Jan 1, 2024

Practitioners & affiliated clinicians

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.

Affiliated clinicians 27

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1215947387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 WASHINGTON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063322",
            "telephone_number": "860-545-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 WASHINGTON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063322",
            "telephone_number": "860-545-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT CHILDREN'S MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCMC CORPORATION",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "CECI",
        "authorized_official_title_or_position": "INTERIM CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "860-545-9000"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "CT",
            "license": "2-CH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4159978",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4159960",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.