NPIMap

Organization Active NPI

Wheeler Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Plainville, CT
National Provider Identifier
1871108076
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WHEELER CLINIC INC
Practice address
91 Northwest Dr
Plainville, CT 06062-1534
Phone
(888) 793-3500
NPI assigned
Sep 14, 2020
Last updated
Sep 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Athena Szczesniak
Title
Chief Financial Officer
Phone
(860) 793-4235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

91 Northwest Dr
Plainville, CT 06062-1534

Mailing address

91 Northwest Dr
Plainville, CT 06062-1534

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201029002003 CT Part A Provider - Federally Qualified Health Center (FQHC) 0345147153 Practice locations: Plainville, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871108076. Details of each certification follow.

Federally qualified health center certification: CCN 071964

Legal name
WHEELER CLINIC INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 4, 2022
Last certification
Mar 4, 2022
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Jan 8, 1968 in CT
Enrollment address
91 Northwest Dr
Plainville, CT 60621534

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
Wheeler Clinic Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Rachel M Tressy Individual Corporate Director Dec 18, 2018
Francis L Vincent Individual Corporate Director Jan 27, 2015
Gary J Thomas Individual Corporate Director Apr 27, 2010
David R Hamelin Individual Corporate Director May 27, 2014
Mary C Rodier Individual Corporate Director Mar 24, 2015
Charles J Herbert Individual Corporate Director Sep 11, 2015
James J Moylan Individual Corporate Director Aug 27, 2013
Marian Acker Individual Corporate Director Jan 22, 2019
Sabrina Trocchi Individual Corporate OfficerCeo/President Nov 1, 2019 100%
Christine Elizabeth Skelly Individual Corporate Director Oct 26, 2010
Melissa a Barton Individual Corporate Officer Oct 23, 2018
Athena Szczesniak Individual Corporate OfficerCfo Apr 25, 2005
Pierre a Richard Individual Corporate Director Jan 31, 2012
Mary R Connolly Individual Corporate Officer Mar 27, 2018
Richard E Cartland Individual Corporate Director Sep 28, 2010
Dawn Hinckley Individual W-2 Managing EmployeeDirector of Revenue Cycle Mar 24, 2004

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": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1871108076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 NORTHWEST DR",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 NORTHWEST DR",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621534",
            "telephone_number": "888-793-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELER CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "SZCZESNIAK",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "860-793-4235"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

Verify at the official NPI Registry.