NATCHAUG HOSPITAL (NPI# 1477793693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477793693 |
| Entity Type | Organization |
| Organization Name | NATCHAUG HOSPITAL |
| Other Organization Name | JOSHUA CENTER SOUTHEAST |
| Practice Address |
20 Maple Ave Uncasville CT 06382-2345 |
| Practice Telephone | 8608483098 |
| Practice Fax Number | 8608481152 |
| Mailing Telephone | 8608483098 |
| Mailing Fax Number | 8608481152 |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |
| Authorized Official Name | DR. STEPHEN LARCEN (CEO) |
| Authorized Official Telephone | 8604561311 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | E48610 | CT | Hospitals |
| Other Name | Type Code |
|---|---|
| Joshua Center SouthEast | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164785101 | Natchaug Hospital | Psychiatric Hospital | 1010 Warrenville Rd, Mansfield Center, CT 06250-1023 | 2012-06-22 |
| 1538689104 | Natchaug Hospital | Psychiatric Hospital | 189 Storrs Road, Mansfield, CT 06250 | 2017-06-23 |
| 1003190950 | Natchaug Hospital | Psychiatric Hospital | 428 Hartford Tpke, Suite 105, Vernon, CT 06066-4841 | 2011-10-10 |
| 1891027728 | Natchaug Hospital | Psychiatric Unit | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2010-02-03 |
| 1366773525 | Natchaug Hospital | Clinic/Center | 189 Storrs Road, Mansfield Center, CT 06250 | 2010-01-27 |
| 1003145582 | Natchaug Hospital | Substance Abuse Rehabilitation Facility | 320 Pomfret St, Putnam, CT 06260-1836 | 2009-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | NATCHAUG HOSPITAL, INC. | 189 Storrs Road, Mansfield Center, CT 06250 |
| Street Address |
20 MAPLE AVE |
| City | UNCASVILLE |
| State | CT |
| Zip Code | 06382-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447523287 | Katherine M Hughes | Social Worker | 20 Maple Ave, Uncasville, CT 06382-2345 | 2012-02-09 |
| 1881924652 | Peter W. Derosa | Counselor | 20 Maple Ave, Uncasville, CT 06382-2345 | 2009-12-30 |
| 1750449930 | Michael Marrella | Psychiatry & Neurology | 20 Maple Ave, Uncasville, CT 06382-2345 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235336934 | Saqib Inayatullah | Internal Medicine | 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382 | 2007-06-27 |
| 1730301011 | Kelly Susan Roberge | Marriage & Family Therapist | 20 Maple Ave., Uncasville, CT 06382 | 2007-05-03 |
| 1427172543 | Madeleine Sherwood Lefker | Speech-Language Pathologist | 303 Norwich New London Tpke., Uncasville, CT 06382 | 2007-03-16 |
| 1245385426 | Community Therapeutix PC | Acupuncturist | 88 Norwich New London Turnpike, Suite 1, Uncasville, CT 06382 | 2007-01-25 |
| 1619031796 | Southeastern Ct Nephrology Assoc PC | Internal Medicine | 88 Norwich New London Tpk, Suite 2, Uncasville, CT 06382 | 2006-12-21 |
| 1598833725 | Orchard Grove Specialty Care Center | Nursing Facility/Intermediate Care Facility | 5 Richard Brown Drive, Uncasville, CT 06382 | 2006-12-04 |
| 1659459584 | Rachel Elizabeth Vitello | Occupational Therapist | 303 Norwich New London Turnpike, Uncasville, CT 06382 | 2006-11-01 |
| 1093739310 | Regina Ann Strand | Optometrist | 2020 Norwich New London Turnpike, Unit 8, Uncasville, CT 06382 | 2006-07-27 |
| 1184690703 | Peter S Hahn | Internal Medicine | 2020 Norwich New London Tpke Ste 12, Uncasville, CT 06382 | 2006-02-24 |
| 1922595222 | Mallory Muzykoski | Nurse Practitioner | 620 Norwich New London Tpke, Uncasville, CT 06382 | 2018-04-23 |
| Find all providers in zip 06382 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1619219219 | Hartford Hospital | Psychiatric Hospital | 200 Retreat St, Institute of Living, Hartford, CT 06102 | 2013-03-21 |
| 1164785101 | Natchaug Hospital | Psychiatric Hospital | 1010 Warrenville Rd, Mansfield Center, CT 06250-1023 | 2012-06-22 |
| 1912105966 | Eva M Varisella | Psychiatric Hospital | 195 Hartford Rd, New Britain, CT 06053-1547 | 2007-07-10 |
| 1366477903 | State of Connecticut | Psychiatric Hospital | 525 Russell Rd, Newington, CT 06111 | 2006-07-12 |
| 1982658035 | Silver Hill Hospital, Inc | Psychiatric Hospital | 208 Valley Rd, New Canaan, CT 06840-3812 | 2006-05-22 |
| 1538689104 | Natchaug Hospital | Psychiatric Hospital | 189 Storrs Road, Mansfield, CT 06250 | 2017-06-23 |
| 1306219191 | Wchn | Psychiatric Hospital | 24 Hospital Ave, Danbury, CT 06810-6099 | 2015-11-03 |
| 1861808289 | Yale Psychiatric Hospital | Psychiatric Hospital | 184 Liberty St, New Haven, CT 06519-1625 | 2014-07-07 |
| 1073947065 | Yale New Haven Hospital | Psychiatric Hospital | 1450 Chapel St, New Haven, CT 06511-4405 | 2013-08-26 |
| Find all providers with the same taxonomy | ||||
| City | UNCASVILLE |
| Zip Code | 06382 |
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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.