Organization Active NPI

Donahue P, C & S LLC

  • Community/Behavioral Health Agency
  • Middletown, CT
National Provider Identifier
1477336006
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DONAHUE P, C & S LLC
Practice address
770 Saybrook Rd BLDG B
Middletown, CT 06457-4739
Phone
(860) 227-5962
NPI assigned
Aug 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Daphne Donahue, LCSWNPI 1538120332
Title
Owner
Phone
(860) 227-5962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

770 Saybrook Rd BLDG B
Middletown, CT 06457-4739

Mailing address

83 Springbrook Dr
Rocky Hill, CT 06067-3623
Phone (860) 227-5962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231004001787 CT Part B Supplier - Clinic/Group Practice 6800240292 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1477336006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SPRINGBROOK DR",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673623",
            "telephone_number": "860-227-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 SAYBROOK RD BLDG B",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574739",
            "telephone_number": "860-227-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONAHUE P, C & S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-227-5962",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.