COMMUNITY HEALTH CENTER OF MIDDLETOWN (Credential# 1069512) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2023. The license status is ACTIVE.
COMMUNITY HEALTH CENTER OF MIDDLETOWN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000522. The credential type is psychiatric outpatient clinic. The effective date is April 1, 2020. The expiration date is March 31, 2023. The business address is 675 Main St, Middletown, CT 06457-2732. The current status is active.
| Licensee Name | COMMUNITY HEALTH CENTER OF MIDDLETOWN |
| Business Name | COMMUNITY HEALTH CENTER OF MIDDLETOWN |
| Doing Business As | COMMUNITY HEALTH CENTER OF MIDDLETOWN |
| Credential ID | 1069512 |
| Credential Number | POCA.0000522 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
675 Main St Middletown CT 06457-2732 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-05-08 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2023-03-31 |
| Refresh Date | 2020-03-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1437743 | SA.0000545 | Substance Abuse | 2017-07-18 | 2019-07-01 - 2021-03-31 | ACTIVE |
| 1070382 | OPC.0000667 | Outpatient Clinic | 2012-05-14 | 2016-04-01 - 2020-03-31 | ACTIVE IN RENEWAL |
| Street Address | 675 MAIN ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-2732 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn A Patterson | 675 Main St, Middletown, CT 06457-2732 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Lindsay Mariel Tsopelas | 675 Main St, Middletown, CT 06457-2732 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Mary Beatrice O'hara | 675 Main St, Middletown, CT 06457 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Charles Melvin Aprn | 675 Main St, Middletown, CT 06457-2718 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carl A Lecce Md | 675 Main St, Middletown, CT 06457-2732 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa Adrina Byron | 675 Main St, Middletown, CT 06457-2732 | Licensed Clinical Social Worker | 2018-04-01 ~ 2019-03-31 |
| Ali Khayyer | 675 Main St, Middletown, CT 06457 | Dentist | 2018-04-01 ~ 2019-03-31 |
| Farqan U Khan | 675 Main St, Middletown, CT 06457-2732 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Maryanne Harmon | 675 Main St, Middletown, CT 06457 | Registered Nurse | 2016-06-01 ~ 2017-05-31 |
| Heather M. Crockett-miller | 675 Main St, Middletown, CT 06457-2732 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rocco J Lamonica · Eli Cannons Tap Room | 695 Main St, Middletown, CT 06457-2732 | Restaurant Liquor | 2019-07-17 ~ 2020-11-16 |
| Phillip J Ouellette · Eli Cannons Tap Room | 695 Main St, Middletown, CT 06457-2732 | Restaurant Liquor | 2017-07-24 ~ 2018-07-23 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Psychiatric Outpatient Clinic |
| License Type + County | Psychiatric Outpatient Clinic + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Community Health Center Inc. · Community Health Center, Inc. | 631 Main Street, Middletown, CT 06457 | Psychiatric Outpatient Clinic | 2010-01-01 ~ 2013-12-31 |
| Community Health Center Middletown Expulsion Program | 398 Main St, Middletown, CT 06457-3310 | Psychiatric Outpatient Clinic | 2018-09-25 ~ 2022-06-30 |
| Community Health Center Inc. · Community Health Center of Middletown | 634 Main Street, Middletown, CT 06457 | Outpatient Clinic | 2010-01-01 ~ 2013-12-31 |
| Community Health Center Inc. · Community Health Center of Middletown | 625 Main Street, Middletown, CT 06457 | Outpatient Clinic | 2010-01-01 ~ 2013-12-31 |
| Community Health Center Inc. · Community Health Center, Inc. | 635 Main Street, Middletown, CT 06457 | Outpatient Clinic | 2002-01-01 ~ 2003-12-31 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc./outpatient Treatment Program | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | Psychiatric Outpatient Clinic | 2020-01-01 ~ 2023-12-31 |
| Community Health Center Inc. · Woodrow Wilson Middle School School Based Health Center | Wilderman's Way, Middletown, CT 06457 | Outpatient Clinic | 2005-01-01 ~ 2008-12-31 |
| Community Health Center Inc. · Eddy Home | Labella Circle, Middletown, CT 06457 | Outpatient Clinic | 2002-01-01 ~ 2003-12-31 |
| Community Health Center Inc. · Wherever You Are Shepherd Home | 112 Bow Lane, Middletown, CT 06457 | Outpatient Clinic | 2010-04-01 ~ 2014-03-31 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc. | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTER OF MIDDLETOWN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).