NPIMap

Organization Active NPI

Mountainside - Wilton

  • Substance Abuse Rehabilitation Facility
  • Wilton, CT
National Provider Identifier
1669970125
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MOUNTAINSIDE - WILTON
Practice address
372 Danbury Rd Ste 195
Wilton, CT 06897-2523
Phone
(860) 362-5232
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Michelle Williamson
Title
Director of Billing
Phone
(860) 362-5232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

372 Danbury Rd Ste 195
Wilton, CT 06897-2523

Mailing address

372 Danbury Rd Ste 195
Wilton, CT 06897-2523
Phone (860) 362-5232

National Provider Directory

National Provider Directory

Locations

372 Danbury Rd
Ste 195
Wilton, CT 06897
Phone (860) 362-5232

Practitioners & affiliated clinicians

Practitioners 8

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": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1669970125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 DANBURY RD STE 195",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972523",
            "telephone_number": "860-362-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 DANBURY RD STE 195",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972523",
            "telephone_number": "860-362-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE - WILTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "860-362-5232"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.