STAYWELL HEALTH CARE INC


Address: 402 E Main St, Waterbury, CT 06702-1701
Phone: 2037551143

STAYWELL HEALTH CARE INC (NPI# 1083022230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083022230
Entity Type Organization
Organization Name STAYWELL HEALTH CARE INC
Practice Address 402 E Main St
Waterbury
CT 06702-1701
Mailing Address 80 Phoenix Ave
Suite 201
Waterbury
CT 06702-1418
Practice Telephone 2037551143
Practice Fax Number 2037533274
Mailing Telephone 2037568021
Mailing Fax Number 2035969038
Enumeration Date 2014-07-31
Last Update Date 2018-02-12
Authorized Official Name DON THOMPSON (CEO)
Authorized Official Telephone 2037568021
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QA0401X Family Medicine
Specialization: Addiction Medicine
0479 CT Allopathic & Osteopathic Physicians
N 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
0479 CT Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
0479 CT Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548861024 Staywell Health Care Inc Clinic/Center 160 Robbins St Ste 2, Waterbury, CT 06708-2652 2020-11-03
1982151635 Staywell Health Care Inc Family Medicine 30 Church St, Naugatuck, CT 06770-4112 2016-09-09
1831580745 Staywell Health Care Inc Clinic/Center 95 Scovill St, 3rd Floor Pavillion B, Waterbury, CT 06706-1113 2015-02-13

Office Location

Street Address 402 E MAIN ST
City WATERBURY
State CT
Zip Code 06702-1701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235743469 Alisha Sanders Student in an Organized Health Care Education/Training Program 402 E Main St, Waterbury, CT 06702-1701 2020-09-04
1275147472 Cody Helgesen Student in an Organized Health Care Education/Training Program 402 E Main St, Waterbury, CT 06702-1701 2020-09-04
1952913006 Christine Cagle Student in an Organized Health Care Education/Training Program 402 E Main St, Waterbury, CT 06702-1701 2020-08-20
1518579804 George Ramos Student in an Organized Health Care Education/Training Program 402 E Main St, Waterbury, CT 06702-1701 2020-08-19
1083237861 Shalima Abdalla Physician Assistant 402 E Main St, Waterbury, CT 06702-1701 2020-05-27
1295360469 Yvette Bonilla Student in an Organized Health Care Education/Training Program 402 E Main St, Waterbury, CT 06702-1701 2020-03-09
1730714270 Bryam Silva Student in an Organized Health Care Education/Training Program 402 E Main St, Waterbury, CT 06702-1701 2020-03-05
1396379665 Kristina Johnson Student in an Organized Health Care Education/Training Program 402 E Main St, Waterbury, CT 06702-1701 2020-02-26
1972135143 Geovanny Gallegos Student in an Organized Health Care Education/Training Program 402 E Main St, Waterbury, CT 06702-1701 2020-02-06
1821630211 Leskia Vazquez Student in an Organized Health Care Education/Training Program 402 E Main St, Waterbury, CT 06702-1701 2019-10-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780120295 Melitza Velez Counselor 80 Prospect St., Waterbury, CT 06702 2017-01-09
1467813600 Ashley Joseph Counselor 30 Holmes Ave, Waterbury, CT 06702 2016-03-16
1649662313 Lori Arens Social Worker 141 E Main St Fl 4, Waterbury, CT 06702 2015-03-04
1265725584 Zelda Shleifer Audiologist 21 W Main St Fl Place-3, Waterbury, CT 06702 2011-05-19
1700024585 Charlene Angela Jurgaitis Durable Medical Equipment & Medical Supplies 102 Grand Street, Waterbury, CT 06702 2009-02-02
1518090570 Nathan Z Imre Pharmacist 161 East Main St Central Pharmacy, Waterbury, CT 06702 2007-03-13
1922149467 Rachael A Petitti Social Worker 402 East Main Street, Waterbury, CT 06702 2007-02-09
1710024484 Abbot Terrace Health Center Assisted Living Facility 44 Abbott Terrace, Waterbury, CT 06702 2007-01-31
1205994555 Michael Arcangel Padilla Social Worker Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 2006-12-05
1205902723 Colette M Anderson Social Worker 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 2006-11-27
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669940599 Porters House Clinic/Center 159 Edgewood Ave, Waterbury, CT 06706-2211 2018-11-08
1568835015 Family Services of Greater Waterbury Clinic/Center 35 Park Place, Waterbury, CT 06702-1215 2015-11-05
1093125064 Family Services of Greater Waterbury Clinic/Center 14 Buckingham Street, Waterbury, CT 06710-1909 2014-04-30
1871505545 Family Service of Greater Waterbury Clinic/Center 34 Murray St, Waterbury, CT 06710-1920 2006-08-12
1730729609 Monarch Counseling Group, LLC Clinic/Center 32 Linden St, Waterbury, CT 06702-1301 2020-01-08
1346718921 New Opportunities Inc. Clinic/Center 232 N Elm St, Waterbury, CT 06702-1516 2018-11-13
1700352721 Connecticut Renaissance, Inc. Clinic/Center 527 Wolcott St, Waterbury, CT 06705-1240 2018-10-17
1962760561 Wellmore, Inc Clinic/Center 402 East Main St, Waterbury Outpatient Behavioral Health Services, Waterbury, CT 06702-1701 2012-05-02
1669617973 Connecticut Renaissance, Inc. Clinic/Center 70 Central Ave, Waterbury, CT 06702-1207 2008-12-16
1295980787 Catholic Charities Inc - Archdiocese of Hartford Clinic/Center 13 Wolcott St, Waterbury, CT 06702-1727 2008-11-25
Find all providers in WATERBURY

Competitor

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City WATERBURY
Zip Code 06702

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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