ROOT CENTER FOR ADVANCED RECOVERY (Credential# 1806090) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is November 13, 2019. The license expiration date date is September 30, 2022. The license status is ACTIVE.
ROOT CENTER FOR ADVANCED RECOVERY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000723. The credential type is psychiatric outpatient clinic. The effective date is November 13, 2019. The expiration date is September 30, 2022. The business address is 520 Saybrook Rd Ste 105, Middletown, CT 06457-4700. The current status is active.
| Licensee Name | ROOT CENTER FOR ADVANCED RECOVERY |
| Business Name | ROOT CENTER FOR ADVANCED RECOVERY |
| Doing Business As | ROOT CENTER FOR ADVANCED RECOVERY |
| Credential ID | 1806090 |
| Credential Number | POCA.0000723 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
520 Saybrook Rd Ste 105 Middletown CT 06457-4700 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-13 |
| Effective Date | 2019-11-13 |
| Expiration Date | 2022-09-30 |
| Refresh Date | 2019-11-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1806086 | SA.0000600 | Substance Abuse | 2019-11-13 | 2019-11-13 - 2021-09-30 | ACTIVE |
| Street Address | 520 SAYBROOK RD STE 105 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4700 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tina Roman | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Edward G Myer Md | 520 Saybrook Rd Ste 100b, Middletown, CT 06457-4700 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| James M Parker Jr | 540 Saybrook Rd Ste 100, Middletown, CT 06457-4700 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Christina Y. Kim | 520 Saybrook Rd Fl 1, Middletown, CT 06457-4700 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Dana Ufnal Kivlin | 520 Saybrook Rd, Middletown, CT 06457-4700 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Brad A Jubelirer | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Allison H Whitaker | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Timothy C. Siegrist Md | 520 Saybrook Rd, Middletown, CT 06457-4700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth J Northrop | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher C Lawrence | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06457-4700 | |||
| 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 |
|---|---|---|---|
| Connecticut Center for Recovery | 6 Glenville Street, Greenwich, CT 06831 | Psychiatric Outpatient Clinic | 2020-02-13 ~ 2022-12-31 |
| High Watch Recovery Center Inc. · High Watch Recovery Center, Inc. | 62 Carter Road, Kent, CT 06757 | Psychiatric Outpatient Clinic | 2020-01-01 ~ 2023-12-31 |
| Recovery Empowerment Counseling Center | 1549 Fairfield Ave, Bridgeport, CT 06605-1935 | Psychiatric Outpatient Clinic | 2018-04-12 ~ 2022-06-30 |
| Positive Directions-the Center for Prevention and Recovery Inc. · Positive Directions - The Center for Prevention & Recovery | 420 Post Rd W, Westport, CT 06880-4744 | Psychiatric Outpatient Clinic | 2015-10-01 ~ 2019-09-30 |
| High Watch Recovery Center | 62 Carter Road, Kent, CT 06757 | Outpatient Clinic | 2020-04-16 ~ 2023-03-31 |
| Recovery Counseling Services | 1438 Park Ave, Bridgeport, CT 06604-2512 | Psychiatric Outpatient Clinic | 2019-07-01 ~ 2023-06-30 |
| Connecticut Center for Recovery | 6 Glenville St, Greenwich, CT 06831-3638 | Mental Health Day Treatment | 2020-02-13 ~ 2022-12-31 |
| Chemical Addiction Recovery Enterprise Inc. · Chemical Addiction Recovery Enterprise, Inc. | 516 Vauxhall Street, New London, CT 06320 | Psychiatric Outpatient Clinic | 2002-07-01 ~ 2004-06-30 |
| Chemical Addiction Recovery Enterprise Inc. · Multicultural Ambulatory Addiction Services | 426 East Street, New Haven, CT 06511 | Psychiatric Outpatient Clinic | 2008-12-03 ~ 2012-09-30 |
| High Watch Recovery Center Inc. · High Watch Recovery Center | 62 Carter Rd, Kent, CT 06757-0607 | Substance Abuse | 2020-01-01 ~ 2021-12-31 |
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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).