Midwestern Connecticut Council of Alcoholism

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIDWESTERN CONNECTICUT COUNCIL OF ALCOHOLISM

Practice address

38 Old Ridgebury Rd
Danbury, CT 06810-5128

Phone

(203) 792-4515

NPI assigned

Aug 4, 2016

Last updated

Aug 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy Rovero

Title

Central Administration

Phone

(203) 792-4515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1952855173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 OLD RIDGEBURY RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 OLD RIDGEBURY RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105128",
            "telephone_number": "203-792-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN CONNECTICUT COUNCIL OF ALCOHOLISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "ROVERO",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CENTRAL ADMINISTRATION",
        "authorized_official_telephone_number": "203-792-4515"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Baroody, MD LLC
• Michael S. Johnson, PH.D., P.C.
• Lynn A Michaelson, LPCA
• Ja'Liza Michaux, LMSW
• Shannon Michelson
• Midwestern Connecticut Council on Alcoholism, Inc
• Midwestern Connecticut Counsel on Alcoholism
• Jeffrey Miele, PHARMD
• Anamaria Cristina Mihu, M.D.
• Mikab Empire LLC

• Community/Behavioral Health Agency in Danbury, CT
• Providers in Danbury, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.