MC1 Healthcare

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

0388 Issued in CT

Legal business name

MC1 HEALTHCARE

Practice address

187 S Canaan Rd
Canaan, CT 06018-2544

Phone

(860) 824-1397

NPI assigned

May 21, 2015

Last updated

May 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Langley, CAC

Title

Executive Director

Phone

(860) 824-1397

Specialties & licenses 1

Addresses

Other names 1

• Mountainside Treatment Center Other name

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

CLIA laboratory certificates

Tax ID family

MC1 Healthcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• MC1 Healthcare

  • Substance Abuse Rehabilitation Facility
  • Canaan, CT
  • NPI 1083883177
  NPD tax ID
• Mountainside Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Canaan, CT
  • NPI 1699134742
  NPD tax ID

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1255710422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 S CANAAN RD",
            "address_2": "PO BOX 717",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060182544",
            "telephone_number": "860-824-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 S CANAAN RD",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060182544",
            "telephone_number": "860-824-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC1 HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "LANGLEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-824-1397",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CT",
            "license": "0388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountainside Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Piotr Tomasz Markowicz, D.C.
• Edward Conrado Martinez, LCSW
• Mary Patricia Matarainen
• Brooke Matura, LADC
• MC1 Healthcare
• MC2 - Healthcare
• Patricia McAllister, PT, DPT
• McCall Foundation, Inc
• Emily Midwood
• Shanthi Mogali, M.D.

• Substance Abuse Rehabilitation Facility in Canaan, CT
• Providers in Canaan, CT by specialty
• Substance Abuse Rehabilitation Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.