NPIMap

Organization Active NPI

Wheeler Clinic Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plainville, CT
National Provider Identifier
1396750840
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WHEELER CLINIC INC
Practice address
91 Northwest Drive
Plainville, CT 06062
Phone
(888) 793-3500
Fax
(860) 793-3520
NPI assigned
Jul 30, 2006
Last updated
Sep 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Ms. Mary H Hess
Title
Director Research Developement
Phone
(860) 793-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

91 Northwest Drive
Plainville, CT 06062

Mailing address

91 Northwest Drive
Plainville, CT 06062
Phone (888) 793-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031218000218 CT Part B Supplier - Clinic/Group Practice 0345147153 Receives reassigned benefits from 210 practitioners
Practice locations: Plainville, CT; Waterbury, CT; New Britain, CT; Hartford, CT; Bristol, CT
O20151105001962 CT Part A Provider - Federally Qualified Health Center (FQHC) 0345147153 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bristol, CT
O20160421000843 CT Part A Provider - Federally Qualified Health Center (FQHC) 0345147153 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hartford, CT

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1396750840. Details of each certification follow.

Federally qualified health center certification: CCN 071916

Legal name
WHEELER CLINIC INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 28, 2015
Last certification
Dec 28, 2015
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Jan 8, 1968 in CT
Enrollment address
10N Main St
Bristol, CT 60106527

Federally qualified health center certification: CCN 071920

Legal name
WHEELER CLINIC INC
Doing business as
WHEELER HEALTH AND WELLNESS- HARTFORD
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 10, 2016
Last certification
May 10, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 8, 1968 in CT
Enrollment address
43 Woodland St
Hartford, CT 61052363

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Francis L Vincent Individual Corporate Director Jan 27, 2015
Gary J Thomas Individual Corporate Director Sep 1, 2010
David R Hamelin Individual Corporate Director May 27, 2014
William J Torres Individual Corporate Director Sep 1, 2009
Mary C Rodier Individual Corporate Director Mar 24, 2015
Charles J Herbert Individual Corporate Director Sep 11, 2015
James J Moylan Individual Corporate Director Sep 1, 2013
Eslayda Conteras Individual Corporate Director Apr 28, 2015
Noelle M Ouellette Individual Corporate Director Jan 27, 2015
Sabrina Trocchi Individual Corporate OfficerPresident/Ceo Nov 1, 2019
Operational/Managerial ControlPresident/Ceo Nov 1, 2019 100%
Diana a Levsky Individual Corporate Director Sep 1, 2011
Steven a Biscoglio Individual Corporate Director Sep 1, 2009
Christine Elizabeth Skelly Individual Corporate Director Sep 1, 2011
Kelly a Phenix Individual Corporate Director Mar 24, 2015
Athena Szczesniak Individual Corporate OfficerChief Financial Officer Jan 30, 2017
W-2 Managing EmployeeChief Financial Officer Apr 25, 2005
Operational/Managerial ControlChief Financial Officer Jan 30, 2017
W-2 Managing Employee Apr 25, 2005
Pierre a Richard Individual Corporate Director Sep 1, 2011
William D Gombatz Individual Corporate Director Sep 1, 2009
Richard E Cartland Individual Corporate Director Sep 28, 2010
Dawn Hinckley Individual W-2 Managing Employee Mar 24, 2004

Practitioners & affiliated clinicians

Practitioners 214

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 214

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1396750840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 NORTHWEST DRIVE",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "06062",
            "telephone_number": "888-793-3500",
            "fax_number": "860-793-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 NORTHWEST DRIVE",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "06062",
            "telephone_number": "888-793-3500",
            "fax_number": "860-793-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELER CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR RESEARCH DEVELOPEMENT",
        "authorized_official_telephone_number": "860-793-4400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

Verify at the official NPI Registry.