The Mohegan Tribe of Indians of Connecticut

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE MOHEGAN TRIBE OF INDIANS OF CONNECTICUT

Practice address

13 Crow Hill Rd
Uncasville, CT 06382-1118

Phone

(860) 862-6102

NPI assigned

Apr 9, 2025

Organization subpart

No

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

Authorized official

Name

Elizabeth Ann McDonald

Title

Executive Health and Welfare Office

Phone

(860) 862-6145

Specialties & licenses 1

Addresses

Other names 1

• MT Behavioral Health Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susie Noel Jacobs, LMSW

  • Social Worker
  • Uncasville, CT
  • NPI 1053083030
  NPD
• Diane Wright, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Old Saybrook, CT
  • NPI 1205918562
  NPD (past)

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1982498200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CROW HILL RD",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063821118",
            "telephone_number": "860-862-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CROW HILL RD",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063821118",
            "telephone_number": "860-862-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOHEGAN TRIBE OF INDIANS OF CONNECTICUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE HEALTH AND WELFARE OFFICE",
        "authorized_official_telephone_number": "860-862-6145"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MT Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sunshine Elderly Care, LLC
• Mary Rose Gotardo Tantoco, M.D.
• Kristen Tarbell, BCBA
• Dessiray Taylor
• The Mohegan Fire Company Incorporated
• Total Vision-Eye Health Center LLC
• Danielle C Trudeau, DDS
• Mya-Ann Takara Tschopp
• Jennifer Tuohy, P.T.
• John N Utz, D.D.S.

• Community/Behavioral Health Agency in Uncasville, CT
• Providers in Uncasville, 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 Apr 9, 2025; 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.