NPIMap

Organization Active NPI

Danbury Hospital

  • Psychiatric Hospital Unit
  • Danbury, CT
National Provider Identifier
1730104217
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
0039 Issued in CT
Legal business name
DANBURY HOSPITAL
Practice address
24 Hospital Ave
Inpatient Psychiatry Unit
Danbury, CT 06810-6099
Phone
(203) 797-7420
NPI assigned
Jul 13, 2006
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Mr. Daniel Debarba
Title
Chief Financial Officer
Phone
(203) 739-7240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 0039 CT Primary

Addresses

Primary practice location

24 Hospital Ave
Inpatient Psychiatry Unit
Danbury, CT 06810-6099

Mailing address

24 Hospital Ave
Inpatient Psychiatry Unit
Danbury, CT 06810-6099
Phone (203) 797-7420

Other names 1

  • INPATIENT PSYCHIATRY UNIT Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://protect-us.mimecast.com/s/DB22CBBjVEHZxw3gU69kQA?domain=urldefense.proofpoint.com Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031104000476 CT Part B Supplier - Clinic/Group Practice 1557273935 Receives reassigned benefits from 184 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Southbury, CT; Danbury, CT; Ridgefield, CT; New Milford, CT
O20110930000012 CT Part A Provider - Hospital 1557273935 Practice locations: Danbury, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730104217. Details of each certification follow.

Hospital certification: CCN 07S033

Legal name
DANBURY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Sep 30, 1985 in CT
Enrollment address
24 Hospital Ave
Danbury, CT 68106099
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Geriatric Clinic6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 32

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ramon Soto Individual Corporate DirectorBoard Member May 1, 2025
Margaret M Crotty Individual Corporate DirectorBoard Member May 1, 2025
Howard B Gold Individual Corporate DirectorBoard Member May 1, 2025
Northwell, Inc. Organization, New Hyde Park, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest May 1, 2025 100%
Timothy Dean Individual Corporate DirectorBoard Member May 1, 2025
Michael E Feldman Individual Corporate DirectorBoard Member May 1, 2025
Sal Calta Individual Corporate DirectorBoard Member May 1, 2025
Gregory W Rakow Individual Corporate DirectorBoard Member May 1, 2025
Robert R Dyson Individual Corporate DirectorBoard Member May 1, 2025
Mark J Solazzo Individual Corporate DirectorBoard Member May 1, 2025
Ervin Shames Individual Corporate DirectorBoard Member May 1, 2025
Kathleen Gallo Individual Corporate DirectorBoard Member May 1, 2025
Anne Roby Individual Corporate DirectorBoard Member May 1, 2025
Mark Gudis Individual Corporate DirectorVice Chairman May 1, 2025
Michael Nesheiwat Individual Corporate DirectorBoard Member May 1, 2025
Nuvance Health Organization, Poughkeepsie, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2019 100%
Michelle Robertson Individual Corporate OfficerPresident Nuvance Market Northwell Jan 1, 2026
Nicole J Schulz Individual Corporate OfficerChief Revenue Officer Jan 1, 2024
Daniel Debarba Individual Corporate OfficerChief Financial Officer Oct 1, 2022
Corporate DirectorTreasurer Oct 1, 2022
W-2 Managing Employee Oct 1, 2022
Steven V Lant Individual Corporate DirectorChairman of the Board May 1, 2025
John K D'Angelo Individual Corporate OfficerPresident and Ceo Oct 1, 2025
Corporate DirectorEx Officio Director Oct 1, 2025
Joseph Divestea Individual Corporate DirectorBoard Member May 1, 2025
Western Connecticut Health Network Organization, Danbury, CT Non-profit 5% Or Greater Direct Ownership Interest Sep 15, 2011 100%
Operational/Managerial Control Sep 15, 2011 100%
Donald Jones Individual Corporate DirectorBoard Member May 1, 2025
Laurence a Kraemer Individual Corporate OfficerEvp and Chief Legal Officer Jan 1, 2026
Corporate DirectorAssistant Secretary Jan 1, 2026
Richard Jabara Individual Corporate DirectorBoard Member May 1, 2025
Thomas Dubin Individual Corporate DirectorBoard Member May 1, 2025
Michele L Cusack Individual Corporate OfficerEvp and Cfo, Northwell Health Jan 1, 2026
Corporate DirectorAssistant Treasurer Jan 1, 2026
Northwell Health System, Inc. Organization, New Hyde Park, NY Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2025 100%
Brian Wyatt Individual Corporate OfficerChief Legal Officer Jan 1, 2026
Corporate DirectorSecretary Jan 1, 2026
Javid Shahid Individual Corporate DirectorBoard Member May 1, 2025
Francoise C Dunefsky Individual Corporate DirectorBoard Member May 1, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 37

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1730104217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVE",
            "address_2": "INPATIENT PSYCHIATRY UNIT",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106099",
            "telephone_number": "203-797-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVE",
            "address_2": "INPATIENT PSYCHIATRY UNIT",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106099",
            "telephone_number": "203-797-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANBURY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "DEBARBA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-739-7240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CT",
            "license": "0039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://protect-us.mimecast.com/s/DB22CBBjVEHZxw3gU69kQA?domain=urldefense.proofpoint.com",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "INPATIENT PSYCHIATRY UNIT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "INPATIENT PSYCHIATRY UNIT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.