Porters House

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PORTERS HOUSE

Practice address

159 Edgewood Ave
Waterbury, CT 06706-2211

Phone

(203) 519-2222

NPI assigned

Nov 8, 2018

Organization subpart

No

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

Authorized official

Name

Sara Wrenn, LCSWNPI 1124352679

Title

Clinical Therapist

Phone

(203) 519-2222

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sara Elizabeth Wrenn, LCSW

  • Social Worker
  • Hamden, CT
  • NPI 1124352679
  NPD Authorized official

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1669940599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 EDGEWOOD AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067062211",
            "telephone_number": "203-519-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 EDGEWOOD AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067062211",
            "telephone_number": "203-519-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERS HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "WRENN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "203-519-2222",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Poole
• Richard Pope, PA-C
• Kimberly Porras
• Peter Porrello, MD
• Neisha Portalatin
• Robert J. Porzio, D.C.
• Aleksandr Pospelov, MD
• Rahul Pottabathini, M.D
• Jamie Elizabeth Potter, LMSW
• Elaine A Poulos, LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.