Organization Active NPI

McCall Foundation Inc.

Doing business as McCall Whole Health Center

  • Family Medicine Physician
  • Waterbury, CT
National Provider Identifier
1891516407
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MCCALL FOUNDATION INC.
Doing business as
McCall Whole Health Center
Practice address
969 W Main St
Waterbury, CT 06708-2653
Phone
(860) 496-2100
Fax
(860) 496-2111
NPI assigned
Oct 17, 2024
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MCCALL FOUNDATION INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Bonni Kuhn
Title
Billing & Collections Manager
Phone
(860) 496-2100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU

Addresses

Primary practice location

969 W Main St
Waterbury, CT 06708-2653

Mailing address

58 High St
Torrington, CT 06790-5106
Phone (860) 496-2100

Other names 1

  • McCall Whole Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120123000492 CT Part B Supplier - Clinic/Group Practice 0345417929 Receives reassigned benefits from 20 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Torrington, CT; Winsted, CT; Waterbury, CT; Danbury, CT; Canaan, CT

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2306167McCall Whole Health Center969 West Main Street, Waterbury, CT 06708Certificate of waiverJun 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
McCall Foundation Inc10 organizations share this tax ID, including this one
Part of
McCall Foundation Inc

Other organizations with this tax ID 9

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

Locations

83 S Canaan Rd
Canaan, CT 06018

969 W Main St
Ste 2D
Waterbury, CT 06708
Phone (203) 573-8555

231 N Main St
Winsted, CT 06098

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1891516407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 HIGH ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905106",
            "telephone_number": "860-496-2100",
            "fax_number": "860-496-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082653",
            "telephone_number": "860-496-2100",
            "fax_number": "860-496-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCALL FOUNDATION INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCALL FOUNDATION INC.",
        "enumeration_date": "2024-10-17",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "KUHN",
        "authorized_official_first_name": "BONNI",
        "authorized_official_title_or_position": "BILLING & COLLECTIONS MANAGER",
        "authorized_official_telephone_number": "860-496-2100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCall Whole Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.