NPIMap

Organization Active NPI

Healthways, Inc

  • Clinical Social Worker
  • Ansonia, CT
National Provider Identifier
1780748012
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALTHWAYS, INC
Practice address
435 E Main St
Ansonia, CT 06401-1964
Phone
(203) 736-2601
Fax
(203) 736-2641
NPI assigned
Dec 21, 2006
Reactivated
Jun 23, 2008
Organization subpart
Yes
Parent organization
BIRMINGHAM GROUP HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Ms. Marilyn McMellon- Cormack
Title
President, Ceo
Phone
(203) 736-2601

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X CT
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X CT Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X CT

Addresses

Primary practice location

435 E Main St
Ansonia, CT 06401-1964

Mailing address

435 E Main St
PO Box 658
Ansonia, CT 06401-1964
Phone (203) 736-2601

Other identifiers 3

IdentifierTypeStateIssuer
004259611MedicaidCT
004258598MedicaidCT
004259603MedicaidCT

National Provider Directory

National Provider Directory
Part of
Bhcare Inc

Locations

435 E Main St
Ansonia, CT 06401
Phone (203) 736-2601

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1780748012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST",
            "address_2": "PO BOX 658",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011964",
            "telephone_number": "203-736-2601",
            "fax_number": "203-736-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011964",
            "telephone_number": "203-736-2601",
            "fax_number": "203-736-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWAYS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIRMINGHAM GROUP HEALTH SERVICES, INC",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-06-23",
        "deactivation_date": "2007-09-17",
        "reactivation_date": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MCMELLON- CORMACK",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "203-736-2601",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004259611",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004258598",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004259603",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.