NPIMap

Organization Active NPI

Natchaug Hospital

Doing business as Joshua Center SouthEast

  • Psychiatric Hospital
  • Uncasville, CT
National Provider Identifier
1477793693
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
E48610 Issued in CT
Legal business name
NATCHAUG HOSPITAL
Doing business as
Joshua Center SouthEast
Practice address
20 Maple Ave
Uncasville, CT 06382-2345
Phone
(860) 848-3098
Fax
(860) 848-1152
NPI assigned
Feb 27, 2009
Last updated
Feb 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Dr. Stephen Larcen, PHD
Title
Ceo
Phone
(860) 456-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X E48610 CT Primary

Addresses

Primary practice location

20 Maple Ave
Uncasville, CT 06382-2345

Mailing address

20 Maple Ave
Uncasville, CT 06382-2345
Phone (860) 848-3098

Other names 1

  • Joshua Center SouthEast Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Natchaug Hospital 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

26 Maple Ave
Uncasville, CT 06382
Phone (860) 848-3098

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1477793693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAPLE AVE",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822345",
            "telephone_number": "860-848-3098",
            "fax_number": "860-848-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAPLE AVE",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822345",
            "telephone_number": "860-848-3098",
            "fax_number": "860-848-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHAUG HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "LARCEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-456-1311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CT",
            "license": "E48610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joshua Center SouthEast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Uncasville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.