St. Vincent'S Special Needs Center, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ST. VINCENT'S SPECIAL NEEDS CENTER, INC.

Practice address

95 Merritt Blvd
Trumbull, CT 06611-5435

Phone

(203) 375-6400

Fax

(203) 380-1190

NPI assigned

Mar 28, 2007

Organization subpart

Yes

Parent organization

ST. VINCENT'S MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Raymond G Baldwin Jr.

Title

President Ceo

Phone

(203) 375-6400

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• St. Vincent's Special Needs Services Doing business as

Part of

St Vincent'S Medical Center

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1295854776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MERRITT BLVD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115435",
            "telephone_number": "203-375-6400",
            "fax_number": "203-380-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MERRITT BLVD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115435",
            "telephone_number": "203-375-6400",
            "fax_number": "203-380-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT'S SPECIAL NEEDS CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT'S MEDICAL CENTER",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "203-375-6400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Augmentative Communication",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040028",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent's Special Needs Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amy Stabinsky
• Janae Mary Staltaro
• Sade Starling
• Thomas Stec, C.P.O.

• All providers in Trumbull, CT
• Developmentally Disabled Services Day Training Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.