WHEELER CLINIC, INC. (Credential# 1681281) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is August 5, 2019. The license expiration date date is June 30, 2023. The license status is CLOSED.
WHEELER CLINIC, INC. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000720. The credential type is psychiatric outpatient clinic. The effective date is August 5, 2019. The expiration date is June 30, 2023. The business address is 100 Jefferson Sq, Waterbury, CT 06706-1109. The current status is closed.
| Licensee Name | WHEELER CLINIC, INC. |
| Business Name | WHEELER CLINIC, INC. |
| Doing Business As | WHEELER CLINIC, INC. |
| Credential ID | 1681281 |
| Credential Number | POCA.0000720 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
100 Jefferson Sq Waterbury CT 06706-1109 |
| Business Type | BUSINESS |
| Status | CLOSED - CLOSED |
| Issue Date | 2019-08-05 |
| Effective Date | 2019-08-05 |
| Expiration Date | 2023-06-30 |
| Refresh Date | 2020-05-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1681284 | SA.0000598 | Substance Abuse | 2019-08-05 | 2019-08-05 - 2021-06-30 | CLOSED |
| Business ID | 0097158 |
| Business Name | WHEELER CLINIC, INC. |
| Business Address | SUSAN WALKMAN, LCSW, 91 NORTHWEST DRIVE, PLAINVILLE, CT, 06062 |
| Mailing Address | SUSAN WALKAMA, LCSW, PRESIDENT,WHEELER CLINIC, 91 NORTHWEST DRIVE, PLAINVILLE, CT, 06062 |
| Registration Date | 1968-01-09 |
| State Citizenship | Domestic/CT |
| Business Type | Non-Stock |
| Business Status | Active |
| Agent Name | DAVID J. BERKOWITZ, PH.D |
| Agent Business Address | WHEELER CLINIC, INC., 91 NORTHWEST DR., PLAINVILLE, CT, 06062 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wheeler Clinic, Inc. · Wheeler Clinc, Inc. | 999 Asylum Avenue, Hartford, CT 06105 | Outpatient Clinic | 2016-08-03 ~ 2020-06-30 |
| Wheeler Clinic, Inc. | 10 N Main St, Bristol, CT 06010-8122 | Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
| Wheeler Clinic, Inc. | 225 North Main St, Suite 106, Bristol, CT 06010 | Psychiatric Outpatient Clinic | 2019-01-10 ~ 2022-12-31 |
| Wheeler Clinic, Inc. | 43 Woodland St, Hartford, CT 06105-2363 | Substance Abuse | 2020-01-01 ~ 2021-12-31 |
| Wheeler Clinic, Inc. | 43 Woodland Street, Hartford, CT 06105 | Outpatient Clinic | 2018-01-08 ~ 2020-12-31 |
| Wheeler Clinic, Inc. | 75 North Mountain Road, New Britain, CT 06053 | Outpatient Clinic | 2016-08-03 ~ 2020-06-30 |
| Wheeler Clinic, Inc. | 999 Asylum Ave, Hartford, CT 06105-2416 | Psychiatric Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
| Street Address | 100 JEFFERSON SQ |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706-1109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amado Budy | 100 Jefferson Sq, Waterbury, CT 06702 | Architect | 2015-08-01 ~ 2016-07-31 |
| John E Zappone Jr | 100 Jefferson Sq, Waterbury, CT 06706 | Embalmer | 2012-07-01 ~ 2013-06-30 |
| Anil K. Vuggam Dds | 100 Jefferson Sq, Waterbury, CT 06706-1105 | Controlled Substance Registration for Practitioner | 2011-01-14 ~ 2013-02-28 |
| Sarpomaa S Nyantakyi | 100 Jefferson Sq, Waterbury, CT 06706 | Registered Nurse | 1998-05-05 ~ 1999-05-31 |
| Ihsam Shanti Md | 100 Jefferson Sq, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 1995-10-11 ~ 1997-02-28 |
| Abarmard M Zafari | 100 Jefferson Sq, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 1994-04-07 ~ 1996-05-01 |
| Hamid Shidban | 100 Jefferson Sq, Waterbury, CT 06706 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yiajaira Morales | 424 Baldwin St., Waterbury, CT 06706 | Medication Administration Certification | 2020-05-01 ~ 2022-04-30 |
| Timiki M White | 921 Hamilton Avenue Unit 6, Waterbury, CT 06706 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Lymarie Torres Garcia | 107 Alpine Ave., Waterbury, CT 06706 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Ann M Iannantuoni | 456 Prospect Rd, Waterbury, CT 06706 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brittany Morgan | 921 Hamilton Ave., Waterbury, CT 06706 | Medication Administration Certification | 2018-04-14 ~ 2020-04-13 |
| Chevelle Hinton | 35 Mountain Village Rd Unit 2, Waterbury, CT 06706 | Medication Administration Certification | 2020-05-19 ~ 2022-05-18 |
| Juan A Bano | 685 Summer St, Waterbury, CT 06706 | Asbestos Abatement Worker | ~ |
| Esther Campos Dasilva | 31 Benjamin St, Waterbury, CT 06706 | Emergency Medical Responder | ~ |
| Rebecca L Diblasi | 295 Edgewood Avenue, Waterbury, CT 06706 | Real Estate Salesperson | 2020-06-11 ~ 2021-05-31 |
| Rnz Services LLC | 76 Lounsbury Ave Apt 2, Waterbury, CT 06706 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06706 | |||
| City | WATERBURY |
| Zip Code | 06706 |
| License Type | Psychiatric Outpatient Clinic |
| License Type + County | Psychiatric Outpatient Clinic + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wheeler Clinic | 855 Lakewood Road, Waterbury, CT 06704 | Psychiatric Outpatient Clinic | 2020-05-08 ~ 2023-03-31 |
| Wheeler Clinic Inc. · Wheeler Clinic, Inc | 91 Northwest Dr, Plainville, CT 06062-1534 | Psychiatric Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
| Wheeler Clinic Inc. · Wheeler Clinic, Inc. | 645 Farmington Ave, Hartford, CT 06105-2907 | Psychiatric Outpatient Clinic | 2013-07-01 ~ 2017-06-30 |
| Wheeler Clinic Inc. · Wheeler Clinic, Inc. | 36 Russell St, New Britain, CT 06052-1313 | Psychiatric Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
| Wheeler Clinic: Bristol Adult Outpatient Services | 36 Race St, Bristol, CT 06010-4931 | Psychiatric Outpatient Clinic | 2012-11-16 ~ 2016-09-30 |
| Wheeler Clinic Inc. · Wheeler Clinic, Inc., The | 645 Farmington Ave, Hartford, CT 06105-2907 | Substance Abuse | 2013-07-01 ~ 2015-06-30 |
| Wheeler Clinic Inc. · Wheeler Clinic, Inc. | 75 N Mountain Rd, New Britain, CT 06053-3468 | Substance Abuse | 2019-07-01 ~ 2021-06-30 |
| Wheeler Clinic Inc. · Wheeler Clinic | 91 Northwest Dr, Plainville, CT 06062-1534 | Substance Abuse | 2019-07-01 ~ 2021-06-30 |
| Outpatient Clinic | 205-209 Orange St, New Haven, CT 06511 | Psychiatric Outpatient Clinic | 2014-01-01 ~ 2017-12-31 |
| Wheeler Clinic: Bristol Adult Outpatient Services | 10 N Main St, Bristol, CT 06010-8122 | Substance Abuse | 2019-10-01 ~ 2021-09-30 |
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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).