MCCALL FOUNDATION, INC (NPI# 1609320977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609320977 |
| Entity Type | Organization |
| Organization Name | MCCALL FOUNDATION, INC |
| Practice Address |
83 S Canaan Rd Canaan CT 06018-2502 |
| Mailing Address |
58 High St Torrington CT 06790-5106 |
| Practice Telephone | 8604962100 |
| Practice Fax Number | 8604962111 |
| Mailing Telephone | 8604962100 |
| Mailing Fax Number | 8604962111 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-10-27 |
| Authorized Official Name | MRS. MARIA COUTANT SKINNER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8604962100 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0511 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004159556 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MCCALL FOUNDATION, INC. | 58 High Street, P.o. Box 806, Torrington, CT 06790 |
| Street Address |
83 S CANAAN RD |
| City | CANAAN |
| State | CT |
| Zip Code | 06018-2502 |
| 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 |
| 1083883177 | Mountainside Treatment Center | Substance Abuse Rehabilitation Facility | 187 Route 7, Canaan, CT 06018 | 2008-02-22 |
| 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 |
| Find all providers in zip 06018 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.