KEYSTONE HOUSE INC. (NPI# 1356335798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356335798 |
| Entity Type | Organization |
| Organization Name | KEYSTONE HOUSE INC. |
| Practice Address |
147 Main St Norwalk CT 06851-3709 |
| Practice Telephone | 2039567816 |
| Mailing Telephone | 2039567816 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2013-01-02 |
| Authorized Official Name | MR. BARRY MCGOVERN (ASSOCIATE EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2039567816 |
| Authorized Official Credential | RN MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 0RLC0022 | CT | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 0RLC0016 | CT | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004246428 | 05 | |
| CT | 004246436 | 05 |
| Street Address |
147 MAIN ST |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417186701 | Healthy Individuals and Family Services | Community Based Residential Treatment Facility, Mental Illness | 12440 Firestone Blvd, Suite 116, Norwalk, CA 90650-4328 | 2009-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437454428 | New Hope Manor | Community Based Residential Treatment Facility, Mental Illness | 60 Hilliard St, Manchester, CT 06042-3002 | 2011-01-21 |
| 1043410954 | Mental Health Association of Connecticut, Inc | Community Based Residential Treatment Facility, Mental Illness | 20-30 Beaver Rd Ste 108, Wethersfield, CT 06109-2242 | 2007-07-19 |
| 1265649297 | Recovery Network of Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 964 Iranistan Ave, Bridgeport, CT 06604-3710 | 2007-05-17 |
| 1023225646 | Regional Network of Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 74 Huntington Rd, Bridgeport, CT 06608-1006 | 2007-05-16 |
| 1518085158 | Also-cornerstone, Inc | Community Based Residential Treatment Facility, Mental Illness | 98 Park St, New Haven, CT 06511-5402 | 2007-03-26 |
| 1992823538 | The Connection Inc. | Community Based Residential Treatment Facility, Mental Illness | 282 Dwight St, New Haven, CT 06511-3233 | 2007-03-26 |
| 1922132083 | Continuum of Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 599 Howard Ave, New Haven, CT 06519-2112 | 2007-03-14 |
| 1043348204 | St. Vincent Depaul Mission of Waterbury, Inc. | Community Based Residential Treatment Facility, Mental Illness | 86 Midland Rd # 88, Waterbury, CT 06705-3414 | 2007-03-01 |
| 1083750343 | Central Naugatuck Valley Help, Inc. | Community Based Residential Treatment Facility, Mental Illness | 17 Arch St, Waterbury, CT 06710-1901 | 2007-01-30 |
| 1558407841 | Central Naugatuck Valley Help, Inc. | Community Based Residential Treatment Facility, Mental Illness | 44 Cook St, Torrington, CT 06790-6420 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
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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.