PMH CT PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PMH CT PC

Practice address

1080 Day Hill Rd Ste 105
Windsor, CT 06095-1781

Phone

(860) 324-7206

NPI assigned

Apr 1, 2024

Organization subpart

No

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

Authorized official

Name

Sophia Brown

Title

Clinical Director

Phone

(860) 324-7206

Specialties & licenses 1

Addresses

Tax ID family

PMH CT PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• PMH CT PC

  • Clinical Social Worker
  • Windsor, CT
  • NPI 1891600086
  NPD tax ID

Practitioners 2

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

• Dawn W Grant-Lockley, LCSW

  • Clinical Social Worker
  • New Haven, CT
  • NPI 1851789036
  NPD
• Danielle Turner, LCSW

  • Clinical Social Worker
  • Bloomfield, CT
  • NPI 1215463369
  NPD

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1508617267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 DAY HILL RD STE 105",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951781",
            "telephone_number": "860-324-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 DAY HILL RD STE 105",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951781",
            "telephone_number": "860-324-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMH CT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "860-324-7206"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pink Gifted Hands Homecare LLC
• Bayleigh Piorek
• Kaylee Piotte
• Valerie Plante
• Plum Blossom Therapeutic Services LLC
• PMH CT PC
• Amber Ponce
• Sashina Porter
• Shanae Porter
• Abigail Grace Potash

• Clinical Social Worker in Windsor, CT
• Providers in Windsor, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.