Wellmore, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

DPH 0436/0528 Issued in CT

Legal business name

WELLMORE, INC

Doing business as

Wellmore, Inc.-Waterbury OP Behavioral Health Services

Practice address

402 East Main St
Waterbury Outpatient Behavioral Health Services
Waterbury, CT 06702-1701

Phone

(203) 755-1143

Fax

(203) 753-3274

NPI assigned

May 2, 2012

Last updated

Aug 23, 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

Mr. Gary M Steck, LMFTNPI 1760728349

Title

Chief Executive Officer

Phone

(203) 574-9000

Specialties & licenses 1

Addresses

Other names 1

• Wellmore, Inc.-Waterbury OP Behavioral Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Wellmore, Inc

  dba Wellmore, Inc.-Therapeutic Shelter

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Waterbury, CT
  • NPI 1336407915

  O20120828000409

  Same enrollment
• Wellmore, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Waterbury, CT
  • NPI 1841379013

  O20120828000409

  Same enrollment

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

CLIA laboratory certificates

Locations

Practitioners 10

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.

• Gary M Steck, LMFT

  • Marriage & Family Therapist
  • Waterbury, CT
  • NPI 1760728349
  Authorized official Same address or phone
• Marie Boyd-Carter

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1902524606
  NPD
• Raymond Gunn, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterbury, CT
  • NPI 1932618568
  NPD
• Ariel Ligowski, LCSW

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1326597485
  NPD
• Caitlin J.C. McAvoy, LCSW

  • Clinical Social Worker
  • Watertown, CT
  • NPI 1740686724
  NPD
• Melanie Mitchell, MS,BA,LPC

  • Professional Counselor
  • Torrington, CT
  • NPI 1215202437
  NPD
• Regan M Moriarty, MSW,BA,LCSW

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1669709135
  NPD
• Kathleen E Nugent, LPC,MA,BS

  • Professional Counselor
  • Waterbury, CT
  • NPI 1538419965
  NPD
• Elisabeth D Peralta, LADC,MSW,BSW,ASW

  • Addiction (Substance Use Disorder) Counselor
  • Waterbury, CT
  • NPI 1114313947
  NPD
• Arthur Joseph Roy, MS,BA,LPC

  • Professional Counselor
  • Waterbury, CT
  • NPI 1891060026
  NPD

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1962760561",
    "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": "402 EAST MAIN ST",
            "address_2": "WATERBURY OUTPATIENT BEHAVIORAL HEALTH SERVICES",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021701",
            "telephone_number": "203-755-1143",
            "fax_number": "203-753-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "STECK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "203-574-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "DPH 0436/0528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellmore, Inc.-Waterbury OP Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shoshana Weinreb, SLP
• Ronald Bruce Weir, D.D.S.
• Jennifer Welborn, CASE MANAGER
• Katherine Sarah Welch, LCSW
• Wellmore, Inc (Wellmore, Inc.-Therapeutic Shelter)
• Wellmore, Inc.
• Wellmore, Inc.
• Terry Beth Welsh, LCSW, MED
• West Haven Vamc
• West Main Dental Associates

• Mental Health Clinic/Center (Including Community Mental Health Center) in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.