MOUNTAINSIDE - WILTON CT (Credential# 1351152) 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.
MOUNTAINSIDE - WILTON CT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000609. 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 372 Danbury Rd, Wilton, CT 06897-2523. The current status is active.
| Licensee Name | MOUNTAINSIDE - WILTON CT |
| Business Name | MOUNTAINSIDE - WILTON CT |
| Doing Business As | MOUNTAINSIDE - WILTON CT |
| Credential ID | 1351152 |
| Credential Number | POCA.0000609 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
372 Danbury Rd Wilton CT 06897-2523 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-05-02 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2023-03-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1351154 | SA.0000504 | Substance Abuse | 2016-05-02 | 2020-04-01 - 2022-03-31 | ACTIVE |
| Street Address | 372 DANBURY RD |
| City | WILTON |
| State | CT |
| Zip Code | 06897-2523 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol A Fucigna Md | 372 Danbury Rd, Wilton, CT 06897-2523 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Maura L Sparks | 372 Danbury Rd, Wilton, CT 06897-2523 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Carolyn M Couture Md | 372 Danbury Rd, Wilton, CT 06897-2523 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Drinks Americas Inc | 372 Danbury Rd, Wilton, CT 06897 | Out of State Shipper Beer | 2011-11-22 ~ 2012-11-21 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Beitel | 372 Danbury Rd Ste 100, Wilton, CT 06897-2523 | Psychologist | 2019-12-01 ~ 2020-11-30 |
| Leukemia and Lymphoma Society | 372 Danbury Rd Ste 200, Wilton, CT 06897-2523 | Raffle Permit Class 2 | 2014-04-01 ~ 2014-04-25 |
| Home Buyers Assistance Corp · Donald A Teare | 372 Danbury Road #191, Wilton, CT 06897-2523 | Real Estate Broker | 2001-04-01 ~ 2002-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | WILTON |
| Zip Code | 06897 |
| License Type | Psychiatric Outpatient Clinic |
| License Type + County | Psychiatric Outpatient Clinic + WILTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mountainside Cafe | 251 Rt 7 South, Falls Village, CT 06031 | Bakery | 2004-07-01 ~ 2005-06-30 |
| Catholic Charities of Fairfield County Inc. · Catholic Family Services of Wilton | 44 Old Ridgefield Road, Wilton, CT 06897 | Psychiatric Outpatient Clinic | 2002-07-01 ~ 2004-06-30 |
| Outpatient Clinic | 205-209 Orange St, New Haven, CT 06511 | Psychiatric Outpatient Clinic | 2014-01-01 ~ 2017-12-31 |
| Mountainside Farms | 55724 State Highway 30, Roxbury, NY 12474-1324 | Milk Dealer | 2020-07-01 ~ 2022-06-30 |
| Mountainside Foundation Inc. | Route 7, P.o. Box 717, Canaan, CT 06018 | Public Charity | 2010-06-01 ~ 2011-05-31 |
| Adult Psychiatric Clinic | 400 Columbus Ave # 428, New Haven, CT 06519-1233 | Psychiatric Outpatient Clinic | 2019-04-01 ~ 2023-03-31 |
| Conversion Data · Catholic Family Service of Norwalk | 70 Ridgefield Rd, Wilton, CT 06897 | Psychiatric Outpatient Clinic | ~ 1993-06-30 |
| Apt Foundation Inc. Psychiatric Outpatient Services · Apt Foundation Psychiatric Outpatient Services | 540 Ella T Grasso Blvd, New Haven, CT 06519-1830 | Psychiatric Outpatient Clinic | 2010-05-19 ~ 2014-03-31 |
| Mountainside Cafe / Lodge · Overview Foundation | Route 7 South, Canaan, CT 06018 | Bakery | 2000-10-10 ~ 2001-06-30 |
| Mountainside Outing Club | High Hill Rd, Wallingford, CT 06492 | Frozen Dessert Retailer | 2007-01-01 ~ 2007-12-31 |
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| 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).