Active NPI
Wanda Santiago
- Counselor
- Norwich, CT
National Provider Identifier
1942765029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 55 Main St Unit 410
Norwich, CT 06360-5760 - Phone
- (860) 885-6054
- Fax
- (860) 253-5036
- NPI assigned
- Feb 4, 2019
- Last updated
- Feb 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
55 Main St Unit 410
Norwich, CT 06360-5760
Mailing address
995 Day Hill Rd
Windsor, CT 06095-1722
Phone (860) 697-3351
Other practice location 1
433 Valley St
Willimantic, CT 06226-1901
Phone (860) 456-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Resources, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Windsor, CT
- NPI 1215979810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1942765029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 DAY HILL RD",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060951722",
"telephone_number": "860-697-3351",
"fax_number": "860-731-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MAIN ST UNIT 410",
"city": "NORWICH",
"state": "CT",
"postal_code": "063605760",
"telephone_number": "860-885-6054",
"fax_number": "860-253-5036"
}
],
"practiceLocations": [
{
"address_1": "433 Valley St",
"address_purpose": "LOCATION",
"city": "Willimantic",
"state": "CT",
"postal_code": "062261901",
"country_code": "US",
"telephone_number": "860-456-7200",
"fax_number": "860-456-1683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO",
"first_name": "WANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-04",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.