S Colwell, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

002422 Issued in CT

Legal business name

S COLWELL, LLC

Practice address

999 Oronoque LN
2ND Floor North
Stratford, CT 06614-1379

Phone

(203) 257-5928

NPI assigned

Aug 22, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Sharon ColwellNPI 1285650622

Title

Aprn

Phone

(203) 257-5928

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

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

• Sharon Colwell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Stratford, CT
  • NPI 1285650622
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1282435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282435200000",
    "number": "1295041739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SPRUCE HILL RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064841965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ORONOQUE LN",
            "address_2": "2ND FLOOR NORTH",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141379",
            "telephone_number": "203-257-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S COLWELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-22",
        "last_updated": "2010-08-22",
        "status": "A",
        "authorized_official_last_name": "COLWELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "203-257-5928",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "002422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285650622",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Russo, MSC
• Whitney Russo
• Eric Matthew Rutter, LMFT
• Ryders Rehabilitation, LLC
• Susan Rzucidlo, N.D.
• Safe Space Talk
• Jessica Amelia Samaroo, ND
• Angelica Sampson
• Mark Samuels
• Morgane Dominique Sansone, DPT

• Adult Mental Health Clinic/Center in Stratford, CT
• Providers in Stratford, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.