NPIMap

Organization Active NPI

State of Connecticut

Doing business as Albert J. Solnit Children's Center-South Campus

  • Psychiatric Hospital
  • Middletown, CT
National Provider Identifier
1750459855
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
STATE OF CONNECTICUT
Doing business as
Albert J. Solnit Children's Center-South Campus
Practice address
915 River Road
Middletown, CT 06457-3921
Phone
(860) 704-4090
Fax
(860) 704-4123
NPI assigned
Nov 30, 2006
Last updated
Jun 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Ms. Michelle Sarofin, LCSW
Title
Superintendent
Phone
(860) 704-4090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

915 River Road
Middletown, CT 06457-3921

Mailing address

915 River Road
Middletown, CT 06457-3921
Phone (860) 704-4090

Other identifiers 1

IdentifierTypeStateIssuer
004042214MedicaidCT

Other names 1

  • Albert J. Solnit Children's Center-South Campus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090127000093 CT Part A Provider - Hospital 8022915677 Practice locations: Middletown, CT

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1750459855. Details of each certification follow.

Hospital certification: CCN 074015

Legal name
STATE OF CONNECTICUT
Doing business as
ALBERT J. SOLNIT CHILDREN'S CENTER - SOUTH CAMPUS
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jun 17, 2016
Last certification
Jun 21, 2016
Beds
50
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
915 River Rd
Middletown, CT 64573921
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Psychiatric residential treatment facility certification: CCN 07L004

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ALBERT J SOLNIT CHILDREN'S CENTER - SOUTH CAMPUS
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Mar 4, 2009
Last certification
Aug 7, 2024
Beds
24
Ownership / control type
For profit – individual
Facility address
915 River Road
Middletown, CT 06457

Other NPIs with the same Medicare PAC ID 10

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Albert J Solnit Children's Center - South CampusCCN 074015 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
John Dempsey Hosp74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Denise Wyrick Individual Operational/Managerial ControlAssistant Superintendent May 2, 2014 100%
Heidi Pugliese Individual Corporate DirectorSuperintendent Aug 29, 2022 100%
Susan Hamilton Individual Corporate OfficerInterim Commissioner Mar 13, 2026 100%
State of Connecticut Organization, Hartford, CT Operational/Managerial Control Jun 1, 2011 100%
Steve Francis Individual Contracted Managing EmployeeCfo Mar 27, 2026 100%
W-2 Managing EmployeeChief Fiscal Officer Mar 27, 2026 5%

Owners & managing parties with NPI records 10

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

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
John Dempsey HospitalFarmington, CT, CCN 070036 Hospital Operational/Managerial Control (100%) Jul 1, 1966
Conneticut Valley HospitalHartford, CT, CCN 074003 Hospital Operational/Managerial Control Mar 30, 2015
Connecticut Mental Health CenterNew Haven, CT, CCN 074011 Hospital Operational/Managerial Control Mar 30, 2015
Southwest Connecticut Mental Health System (Swcmhs)Bridgeport, CT, CCN 074012 Hospital Operational/Managerial Control May 2, 1988
John L. Levitow Health Care CenterRocky Hill, CT, CCN 075443 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Mar 4, 2020
Jan 1, 2025

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1750459855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 RIVER ROAD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573921",
            "telephone_number": "860-704-4090",
            "fax_number": "860-704-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 RIVER ROAD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573921",
            "telephone_number": "860-704-4090",
            "fax_number": "860-704-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF CONNECTICUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "SAROFIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "860-704-4090",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004042214",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albert J. Solnit Children's Center-South Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.