Annie C. Courtney Foundation, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ANNIE C. COURTNEY FOUNDATION, INC.

Practice address

211 Schraffts Dr
A5
Waterbury, CT 06705-3222

Phone

(475) 235-2184

NPI assigned

Feb 17, 2015

Last updated

Feb 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzan Murielle Plowman

Title

Clinical Director

Phone

(475) 235-2184

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1437540176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SCHRAFFTS DR",
            "address_2": "A5",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053222",
            "telephone_number": "475-235-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SCHRAFFTS DR",
            "address_2": "A5",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053222",
            "telephone_number": "475-235-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE C. COURTNEY FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "PLOWMAN",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_middle_name": "MURIELLE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "475-235-2184"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.