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State of Connecticut

Organization Active NPI Psychiatric Hospital · Middletown, CT

NPI 1245256247 · NPPES record last updated Jun 16, 2026

Key facts

NPI
1245256247
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Hospital 283Q00000X
Legal business name
STATE OF CONNECTICUT
Practice address
1000 Silver Street
Middletown, CT 06457
Phone
(860) 262-7153
Fax
(860) 262-5895
NPI assigned
Jul 14, 2006
Organization subpart
No

Authorized official

Name
Ms. Cheryl Arora
Title
Chief Financial Officer
Phone
(860) 418-6937

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

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

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 322

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 322

Medicare Care Compare: Hospital

Listed as
Connecticut Valley Hosp CCN 074003
Type
Psychiatric
Ownership
Government - State
Medicare certification status
Active (Provider of Services file)
Emergency services
No

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CT

Hospital certification: CCN 074003

Legal name
STATE OF CONNECTICUT
Doing business as
CONNETICUT VALLEY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
Sep 14, 2017
Beds
386
Ownership / control type
State
Organization structure
Other · Non-profit
Incorporated
in NY
Enrollment address
Blue Hills Substance Abuse Services
500 Vine Street
Hartford, CT 61121639
Other Hospital Practice Location
Hospital subgroups
Psychiatric

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Christina Arias
Individual 		Corporate Director
Director of Healthcare Finance		 Jan 1, 2022
W-2 Managing Employee Jan 1, 2022
State of Connecticut
Organization · Hartford, CT 		Operational/Managerial Control Mar 30, 2015

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
John Dempsey Hospital
Farmington, CT · CCN 070036		 Hospital Operational/Managerial Control (100%) Jul 1, 1966
Albert J. Solnit Children'S Center - South Campus
Middletown, CT · CCN 074015		 Hospital Operational/Managerial Control (100%) Jun 1, 2011
Connecticut Mental Health Center
New Haven, CT · CCN 074011		 Hospital Operational/Managerial Control Mar 30, 2015
Southwest Connecticut Mental Health System (Swcmhs)
Bridgeport, CT · CCN 074012		 Hospital Operational/Managerial Control May 2, 1988
John L. Levitow Health Care Center
Rocky Hill, CT · CCN 075443		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Mar 4, 2020
Jan 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040319000535 CT Part B Supplier - Clinic/Group Practice 8022915677 Receives reassigned benefits from 89 practitioners
Practice locations: Hartford, CT; Middletown, CT
O20100927000120 CT Part a Provider - Hospital 8022915677 Practice locations: Hartford, CT; Middletown, CT

National Provider Directory

Tax ID family
John Dempsey Hosp (74 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Yes

Addresses

Primary practice location

1000 Silver Street
Middletown, CT 06457

Mailing address

PO Box 351
Middletown, CT 06457-7023
Phone (860) 262-6463

Other identifiers

IdentifierTypeStateIssuer
004042206MedicaidCT
004049607MedicaidCT
004122941MedicaidCT

Other names

  • Connecticut Valley Hospital Doing business as

Other providers in Middletown, CT

All providers in Middletown, CT · Psychiatric Hospital in Connecticut

Sources for this page

Verify at the official NPI Registry.