STATE OF CONNECTICUT (NPI# 1750459855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750459855 |
| Entity Type | Organization |
| Organization Name | STATE OF CONNECTICUT |
| Other Organization Name | ALBERT J. SOLNIT CHILDREN'S CENTER-SOUTH CAMPUS |
| Practice Address |
915 River Road Middletown CT 06457-3921 |
| Practice Telephone | 8607044090 |
| Practice Fax Number | 8607044123 |
| Mailing Telephone | 8607044090 |
| Mailing Fax Number | 8607044123 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2015-06-15 |
| Authorized Official Name | MS. MICHELLE SAROFIN (SUPERINTENDENT) |
| Authorized Official Telephone | 8607044090 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004042214 | 05 |
| Other Name | Type Code |
|---|---|
| Albert J. Solnit Children's Center-South Campus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871095851 | State of Connecticut | Clinic/Center | 850 Bolton Rd Unit 1271, Storrs, CT 06269-1271 | 2018-03-06 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1790974657 | State of Connecticut | Durable Medical Equipment & Medical Supplies | 381 Hopmeadow Street, Simsbury, CT 06070 | 2007-10-17 |
| 1205951662 | State of Connecticut | Skilled Nursing Facility | 287 West Street, Rocky Hill, CT 06067-3904 | 2007-03-21 |
| 1427074426 | State of Connecticut | Clinic/Center | Silver Street, Dutton Home, Middletown, CT 06457 | 2006-07-14 |
| 1366477903 | State of Connecticut | Psychiatric Hospital | 525 Russell Rd, Newington, CT 06111 | 2006-07-12 |
| 1487689022 | State of Connecticut | Clinic/Center | 500 Vine Street, Hartford, CT 06112 | 2006-07-12 |
| 1841225489 | State of Connecticut | Clinic/Center | 55 West Main Street, Suite 410 Rowland State Government Center, Waterbury, CT 06702 | 2006-07-12 |
| 1225063860 | State of Connecticut | Clinic/Center | 2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457 | 2006-07-12 |
| 1871524678 | State of Connecticut | Ambulance | Route 172, Dept of Mental Retardation: Southbury Training School, Southbury, CT 06488-0901 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF CONNECTICUT DMR | 460 Capitol Ave, Hartford, CT 06106-1308 |
| Street Address |
915 RIVER ROAD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| 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 |
| 1033251921 | Middletown Psychiatric Center | Psychiatric Hospital | 122 Dorothea Dix Dr, Middletown, NY 10940-1907 | 2007-02-14 |
| 1144393430 | Rockland Psychiatric Center | Psychiatric Hospital | 45 Ashley Ave. Building 57, Middletown, NY 10940 | 2006-11-16 |
| 1083050249 | Ormc | Psychiatric Hospital | 707 E Main St, Middletown, NY 10940-2650 | 2013-05-15 |
| 1659614634 | Rockland Psychiatric Center | Psychiatric Hospital | 45 Ashley Ave, Middletown, NY 10940-1912 | 2013-03-28 |
| 1245256247 | State of Connecticut | Psychiatric Hospital | Silver Street, Middletown, CT 06457 | 2006-07-14 |
| 1245299726 | Garnet Health Medical Center | Psychiatric Hospital | 707 East Main Street, Middletown, NY 10940 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1568895571 | Yale New Haven Hospital | Psychiatric Hospital | 1450 Chapel St, Children's Day Hospital - Private One, New Haven, CT 06511-4405 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on STATE OF CONNECTICUT.
| 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.