NPIMap

Organization Active NPI

Midwestern Connecticut Council on Alcoholism, Inc.

  • Community/Behavioral Health Agency
  • New Milford, CT
National Provider Identifier
1417149121
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
003279 Issued in CT
Legal business name
MIDWESTERN CONNECTICUT COUNCIL ON ALCOHOLISM, INC.
Practice address
17 East St
New Milford, CT 06776-3013
Phone
(860) 355-7312
NPI assigned
Aug 16, 2007
Last updated
Aug 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Mr. Joseph Sullivan, LCSW
Title
Ceo
Phone
(203) 792-4515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 003279 CT Primary

Addresses

Primary practice location

17 East St
New Milford, CT 06776-3013

Mailing address

38 Old Ridgebury Rd
Danbury, CT 06810-5128
Phone (203) 792-4515

Other names 1

  • MCCA, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
McCa Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

17 East St
New Milford, CT 06776
Phone (860) 294-1377

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1417149121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 OLD RIDGEBURY RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105128",
            "telephone_number": "203-792-4515",
            "fax_number": "203-748-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EAST ST",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763013",
            "telephone_number": "860-355-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN CONNECTICUT COUNCIL ON ALCOHOLISM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-792-4515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "003279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCA, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.