NPIMap

Organization Active NPI

Catholic Charities, Inc. - Archdiocese of Hartford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ansonia, CT
National Provider Identifier
1497849624
Registry record updated Feb 1, 2018
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
CATHOLIC CHARITIES, INC. - ARCHDIOCESE OF HARTFORD
Practice address
205 Wakelee Ave.
Ansonia, CT 06401
Phone
(860) 493-1841
Fax
(869) 548-1930
NPI assigned
Oct 3, 2006
Last updated
Feb 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Authorized official

Name
Marek Krzystof KukulkaNPI 1518004241
Title
Ceo
Phone
(860) 728-2566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

205 Wakelee Ave.
Ansonia, CT 06401

Mailing address

839 Asylum Ave.,
Hartford, CT 06105
Phone (860) 493-1841

Other identifiers 3

IdentifierTypeStateIssuer
004040978MedicaidCT
77ABH0007CTOtherCTBC/BS
183459OtherCOHEALTHNET/MHN

Other names 1

  • Catholic Family Services, Inc. - Archdiocese of Hartford Former legal business name

National Provider Directory

National Provider Directory

Locations

205 Wakelee Ave
Ansonia, CT 06401
Phone (203) 729-0341

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1497849624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 ASYLUM AVE.,",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-493-1841",
            "fax_number": "860-548-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WAKELEE AVE.",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "06401",
            "telephone_number": "860-493-1841",
            "fax_number": "869-548-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES, INC. - ARCHDIOCESE OF HARTFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "KUKULKA",
        "authorized_official_first_name": "MAREK",
        "authorized_official_middle_name": "KRZYSTOF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-728-2566"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040978",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "77ABH0007CT",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/MHN",
            "identifier": "183459",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Family Services, Inc. - Archdiocese of Hartford",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ansonia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.