MOUNTAINSIDE TREATMENT CENTER (NPI# 1083883177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083883177 |
Entity Type | Organization |
Organization Name | MOUNTAINSIDE TREATMENT CENTER |
Practice Address |
187 Route 7 Canaan CT 06018 |
Mailing Address |
Po Box 717 Canaan CT 06018 |
Practice Telephone | 8608241397 |
Practice Fax Number | 8608244021 |
Mailing Telephone | 8608241397 |
Mailing Fax Number | 8887892815 |
Enumeration Date | 2008-02-22 |
Last Update Date | 2015-10-12 |
Authorized Official Name | MR. STEPHEN LANGLEY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8608241397 |
Authorized Official Credential | CAC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 324500000X | Substance Abuse Rehabilitation Facility | SA0187 | CT | Residential Treatment Facilities |
Y | 324500000X | Substance Abuse Rehabilitation Facility | CT | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699134742 | Mountainside Treatment Center | Substance Abuse Rehabilitation Facility | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2016-02-17 |
Street Address |
187 ROUTE 7 |
City | CANAAN |
State | CT |
Zip Code | 06018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780038331 | Lisa Beth Westerson | Social Worker | 187 South Canaan Road, Canaan, CT 06018 | 2016-04-20 |
1245609361 | Chelsi Flood | Counselor | 187 South Canaan Rd, Canaan, CT 06018 | 2015-09-18 |
1437539434 | Karen Browning | Physical Therapist | 99 South Canaan Rd, Canaan, CT 06018 | 2015-06-04 |
1366871147 | Sophia Hartell | Acupuncturist | Route 7, Box 717, Canaan, CT 06018 | 2013-11-02 |
1962527762 | Thomas Livingstone | Dentist | 3 Railroad St., Canaan, CT 06018 | 2007-03-20 |
1396271557 | Joycelyn Faraj | Dietitian, Registered | Route 7, Box 717, Canaan, CT 06018 | 2017-05-10 |
1023423399 | Housatonic Valley Dental Care | Clinic/Center | 60 Church Street, Canaan, CT 06018 | 2014-06-25 |
1205049392 | Donald T Martin | Dentist | 100 Main Street, Canaan, CT 06018 | 2007-05-07 |
1326128331 | Jane Erin Simonds | Physical Therapist | 99 South Canaan Road, Canaan, CT 06018 | 2006-10-16 |
1063502938 | Michael J Mangini Jr. | Physical Therapist | 99 S Canaan Rd, Canaan, CT 06018 | 2006-10-13 |
Find all providers in zip 06018 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699134742 | Mountainside Treatment Center | Substance Abuse Rehabilitation Facility | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2016-02-17 |
1255710422 | Mc1 Healthcare | Substance Abuse Rehabilitation Facility | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2015-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073143152 | Connecticut Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 6 Glenville St, Greenwich, CT 06831-3638 | 2020-01-17 |
1235774365 | Aware Recovery Care of Indiana LLC | Substance Abuse Rehabilitation Facility | 35 Thorpe Ave Ste 104, Wallingford, CT 06492-1948 | 2019-11-13 |
1710528252 | Ct Ya Services LLC | Substance Abuse Rehabilitation Facility | 3236 Congress St, Fairfield, CT 06824-2034 | 2019-10-07 |
1669970125 | Mountainside - Wilton | Substance Abuse Rehabilitation Facility | 372 Danbury Rd Ste 195, Wilton, CT 06897-2523 | 2018-01-30 |
1104335041 | Mccall Foundation, Inc. | Substance Abuse Rehabilitation Facility | 17 Prospect Pl, Torrington, CT 06790-4919 | 2017-09-22 |
1922541143 | Cvs Pharmacy | Substance Abuse Rehabilitation Facility | 35 Padanaram Rd, Danbury, CT 06811-3701 | 2016-11-19 |
1255735577 | Pivot Ministries, Inc. | Substance Abuse Rehabilitation Facility | 485 Jane St, Bridgeport, CT 06608-1707 | 2014-10-15 |
1801201330 | Time for A Change Ministry | Substance Abuse Rehabilitation Facility | 880 Hancock Ave, Bridgeport, CT 06605-1930 | 2014-06-23 |
1275946881 | High Watch Recovery Center | Substance Abuse Rehabilitation Facility | 62 Carter Rd., Kent, CT 06757 | 2014-06-11 |
1013107432 | Hogar Crea International of Connecticut, Inc. | Substance Abuse Rehabilitation Facility | 18 New Park Ave, Hartford, CT 06106-2122 | 2007-08-01 |
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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.