Garner Correctional Institution

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

021797 Issued in CT

Legal business name

GARNER CORRECTIONAL INSTITUTION

Practice address

50 Nunnawauk Rd
Newtown, CT 06470-2319

Phone

(203) 270-2800

NPI assigned

Feb 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert Berger, M.D.

Title

Chief, CMHC

Phone

(860) 679-5589

Specialties & licenses 1

Addresses

Other names 1

• Correctional Managed Health Care Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maurice Park Lee, M.D., PH.D.

  • Psychiatry Physician
  • Newtown, CT
  • NPI 1285741025
  NPD (past)
• Jason Ramos Pereira

  • Psychiatric/Mental Health Nurse Practitioner
  • Newtown, CT
  • NPI 1831952563
  NPD (past)

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

{
    "created_epoch": "1328918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328918400000",
    "number": "1831462514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NUNNAWAUK RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702319",
            "telephone_number": "203-270-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NUNNAWAUK RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702319",
            "telephone_number": "203-270-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNER CORRECTIONAL INSTITUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-11",
        "last_updated": "2012-02-11",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF, CMHC",
        "authorized_official_telephone_number": "860-679-5589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CT",
            "license": "021797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Correctional Managed Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard John Frankonis Sr., RPH
• Maria Freeman, MS, OTR/L, CLC
• Jeffrey P Friedman, MD
• Shantae Alicia Fyffe-Simpson
• Beth Gantert, CCC-SLP
• Elsa B George, DDS
• Kara Gerace, LCSW
• Mark J. Gerace, P.T.
• Christopher J Gergovich, LCSW
• Sarah Elizabeth Gerrish, MA, LPCA

• Exclusive Provider Organization in Newtown, CT
• Providers in Newtown, CT by specialty
• Exclusive Provider Organization in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2012; 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.