Grove School
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Madison, CT
NPI 1801086830 · NPPES record last updated Jul 26, 2007
Key facts
- NPI
- 1801086830
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- CCF/RE-4 (CT)
- Legal business name
- GROVE SCHOOL
- Practice address
- 175 Copse Rd
Madison, CT 06443-2323 - Phone
- (203) 245-2778
- Fax
- (203) 245-6098
- NPI assigned
- Jul 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Kathy M McMahon
- Title
- Business Manager
- Phone
- (203) 245-2778
Practitioners 12
-
Jessica Andretta, LPC
-
Amanda Aromatici, LMFT
-
Nancy Anderson Darr, LCSW
-
Kerry E. Graham, LPC
-
Avery Grauer, M.D.
-
Diane Guardiani, PMHNP (APRN)
-
Melissa Joy, APRN
-
Shandel Reith, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2193570 | Grove School Inc | Certificate of waiver | Sep 22, 2026 |
National Provider Directory
Locations
175 Copse Rd
Madison, CT 06443
Phone (203) 245-2778
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | CCF/RE-4 | CT | Yes |
Addresses
Primary practice location
175 Copse Rd
Madison, CT 06443-2323
Mailing address
175 Copse Rd
Madison, CT 06443-2323
Phone (203) 245-2778
Other providers in Madison, CT
- Donald Richard Greene
- Barbara Greenspan
- Meri Lee Greenwald
- Taylor Griffeth
- Maryann Y Grimaldi
- Groves Naturopathic Center, LLC
- Joann Donnaruma Guay
- Alicia Ramona Guidone
- Jessica Gurfein Miller
- Giselle Hagen
All providers in Madison, CT · Emotionally Disturbed Childrens' Residential Treatment Facility in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.