NPIMap

Organization Active NPI

Women and Childrens Program

  • Substance Abuse Rehabilitation Facility
  • Waterbury, CT
National Provider Identifier
1942676523
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WOMEN AND CHILDRENS PROGRAM
Practice address
79 Beacon St
Women and Childrens Program
Waterbury, CT 06704-3424
Phone
(203) 574-3311
Fax
(203) 574-3315
NPI assigned
Aug 18, 2015
Last updated
Feb 23, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
WELLMORE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Mr. Gary Steck, LMFTNPI 1760728349
Title
Ceo
Phone
(203) 574-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

79 Beacon St
Women and Childrens Program
Waterbury, CT 06704-3424

Mailing address

141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
Phone (203) 574-9000

National Provider Directory

National Provider Directory
Tax ID family
Women and Childrens Program2 organizations share this tax ID, including this one
Part of
Women and Childrens Program

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1942676523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E MAIN ST",
            "address_2": "4TH FLOOR ADMINISTRATION",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022310",
            "telephone_number": "203-574-9000",
            "fax_number": "203-574-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BEACON ST",
            "address_2": "WOMEN AND CHILDRENS PROGRAM",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067043424",
            "telephone_number": "203-574-3311",
            "fax_number": "203-574-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN AND CHILDRENS PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLMORE, INC.",
        "enumeration_date": "2015-08-18",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "STECK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-574-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 23, 2017; 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.