NPIMap

Organization Active NPI

Natchaug Hospital, Inc.

  • Psychiatric Hospital
  • Mansfield Center, CT
National Provider Identifier
1295811321
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
H0003 Issued in CT
Legal business name
NATCHAUG HOSPITAL, INC.
Practice address
189 Storrs Road
Mansfield Center, CT 06250-1683
Phone
(860) 456-1311
Fax
(860) 450-0165
NPI assigned
Oct 31, 2006
Last updated
Apr 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Mr. Paul V Maloney
Title
Cfo
Phone
(860) 456-1311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X H0003 CT
Psychiatric Hospital 283Q00000X H0003 CT Primary

Addresses

Primary practice location

189 Storrs Road
Mansfield Center, CT 06250-1683

Mailing address

189 Storrs Road
Mansfield Center, CT 06250-1683
Phone (860) 456-1311

Other identifiers 4

IdentifierTypeStateIssuer
004121159MedicaidCT
004025276MedicaidCT
069OtherCTANTHEM BC BS
004041992MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040202000008 CT Part B Supplier - Clinic/Group Practice 5395648737 Receives reassigned benefits from 192 practitioners
Practice locations: Mansfield Center, CT
O20101213000859 CT Part A Provider - Hospital 5395648737 Practice locations: Mansfield Center, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295811321. Details of each certification follow.

Hospital certification: CCN 074008

Legal name
NATCHAUG HOSPITAL, INC
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Oct 1, 1972
Last certification
Nov 14, 2013
Beds
60
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
189 Storrs Rd
Mansfield Center, CT 62501683
Main/Primary Hospital Location
Hospital subgroups
General

Care Compare: Hospital

Medicare Care Compare
Listed as
Natchaug HospitalCCN 074008 · All quality measures
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

934 N Main St
Danielson, CT 06239
Phone (860) 779-2101

11 Dog Hill Rd
Dayville, CT 06241
Phone 8607790321 ext. 231

72 Shaker Rd
Ste 7
Enfield, CT 06082
Phone (860) 698-3040

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

11 Stott Ave
#A
Norwich, CT 06360
Phone (860) 823-5350

5 Research Pkwy
Old Saybrook, CT 06475
Phone (860) 510-0163

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Donna M Romito Rolla Individual Corporate DirectorBoard Member Oct 1, 2024
Daniel L King Individual Corporate DirectorBoard Member Jun 26, 2024
Lee-Ann Gomes Individual Corporate DirectorBoard Member Jan 30, 2024
Donna Handley Individual Corporate DirectorBoard Member Jan 30, 2024
Anita Lee Individual Corporate DirectorBoard Member Jan 30, 2024
Anthony a Joyce Individual Corporate DirectorBoard Member Jan 1, 2020
Jennifer Bellino Individual Corporate DirectorBoard Member Nov 1, 2024
Hartford Healthcare Corporation Organization, Hartford, CT Non-profit 5% Or Greater Direct Ownership Interest Aug 24, 1998 100%
Christina Nadeau Individual Corporate DirectorBoard Member Jun 26, 2024
Michele Scott Individual Corporate DirectorBoard Member Mar 1, 2025
Paul Maloney Individual Corporate DirectorVP of Finance Dec 22, 2007
W-2 Managing EmployeeVP of Finance Dec 22, 2007
Stephen W Larcen Individual Corporate DirectorBoard Member Jan 1, 2025
Henry Beck Individual Corporate DirectorBoard Member Jan 1, 2019
Mark E Tramontozzi Individual Corporate DirectorBoard Member Jan 1, 2019

Owners & managing parties with NPI records 2

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

Facilities with the same owner 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 256

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.

View all 256

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1295811321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 STORRS ROAD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501683",
            "telephone_number": "860-456-1311",
            "fax_number": "860-450-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 STORRS ROAD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501683",
            "telephone_number": "860-456-1311",
            "fax_number": "860-450-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHAUG HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-456-1311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "H0003",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CT",
            "license": "H0003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004121159",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004025276",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "069",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004041992",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield Center, CT

Sources for this page

Verify at the official NPI Registry.