NPIMap

Organization Active NPI

The Village for Families & Children, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Hartford, CT
National Provider Identifier
1841362795
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
THE VILLAGE FOR FAMILIES & CHILDREN, INC.
Practice address
1680 Albany Avenue
Hartford, CT 06105-1001
Phone
(860) 236-4511
Fax
(860) 297-0591
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Hector Glynn, MSW
Title
President and Ceo
Phone
(860) 236-4511

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X CT
Adult Mental Health Clinic/Center 261QM0850X SA-0218 CT
Adult Mental Health Clinic/Center 261QM0850X SA-0219 CT
Adult Mental Health Clinic/Center 261QM0850X C-0091 CT
Adult Mental Health Clinic/Center 261QM0850X C-0357 CT
Adult Mental Health Clinic/Center 261QM0850X SA-0285 CT
Adolescent and Children Mental Health Clinic/Center 261QM0855X EDT-8 CT
Adolescent and Children Mental Health Clinic/Center 261QM0855X EDT-8Q CT
Adolescent and Children Mental Health Clinic/Center 261QM0855X OPCC-16 CT
Adolescent and Children Mental Health Clinic/Center 261QM0855X SA-0218 CT
Adolescent and Children Mental Health Clinic/Center 261QM0855X SA-0219 CT
Adolescent and Children Mental Health Clinic/Center 261QM0855X CCF-TS-52 CT
Adolescent and Children Mental Health Clinic/Center 261QM0855X SA-0285 CT
Adolescent and Children Mental Health Clinic/Center 261QM0855X CT Primary

Addresses

Primary practice location

1680 Albany Avenue
Hartford, CT 06105-1001

Mailing address

1680 Albany Avenue
Attn: Linda Roderick, Billing Manager
Hartford, CT 06105-1001
Phone (860) 882-6408

Other identifiers 2

IdentifierTypeStateIssuer
004040622MedicaidCT
004255338MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041203000399 CT Part B Supplier - Clinic/Group Practice 3072579895 Receives reassigned benefits from 27 practitioners
Practice locations: Hartford, CT

National Provider Directory

National Provider Directory
Tax ID family
The Village for Families Children Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1841362795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ALBANY AVENUE",
            "address_2": "ATTN: LINDA RODERICK, BILLING MANAGER",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051001",
            "telephone_number": "860-882-6408",
            "fax_number": "860-882-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ALBANY AVENUE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051001",
            "telephone_number": "860-236-4511",
            "fax_number": "860-297-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE FOR FAMILIES & CHILDREN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-02-05",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "GLYNN",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "860-236-4511",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "SA-0218",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "SA-0219",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "C-0091",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "C-0357",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "SA-0285",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": "EDT-8",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": "EDT-8Q",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": "OPCC-16",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": "SA-0218",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": "SA-0219",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": "CCF-TS-52",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": "SA-0285",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040622",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004255338",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.