HARTFORD HOSPITAL (NPI# 1861652604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861652604 |
| Entity Type | Organization |
| Organization Name | HARTFORD HOSPITAL |
| Practice Address |
80 Seymour St Hartford CT 06102-8000 |
| Practice Telephone | 8606966010 |
| Practice Fax Number | 8606966190 |
| Mailing Telephone | 8606966010 |
| Mailing Fax Number | 8606966190 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | MR. THOMAS MARCHOZZI (VP FINANCE) |
| Authorized Official Telephone | 8605452746 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 0046 | CT | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | UNITED HEALTHCARE | 0319896 | 01 |
| CT | VALUE OPTIONS | 059672 | 01 |
| CT | ANTHEM BLUE CROSS MH | 05B | 01 |
| CT | CTCARE | 900006 | 01 |
| CT | TRICARE | C001897 | 01 |
| CT | FEDERAL BLACK LUNG PROGRAM | 038157400 | 01 |
| CT | 004041869 | 05 | |
| CT | OXFORD | H01316 | 01 |
| CT | US HEALTHCARE | 0001352 | 01 |
| CT | AETNA | 0006170150 | 01 |
| CT | MEDICARE PART B | C00023 | 01 |
| CT | ANTHEM BLUE CROSS | 005 | 01 |
| CT | TUFTS INSURANCE | 900777 | 01 |
| CT | HEALTHNET | IS10001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619219219 | Hartford Hospital | Psychiatric Hospital | 200 Retreat St, Institute of Living, Hartford, CT 06102 | 2013-03-21 |
| 1609183516 | Hartford Hospital | General Acute Care Hospital | 177 White Plains Rd Apt 35a, Tarrytown, NY 10591-5554 | 2010-09-13 |
| 1558511626 | Hartford Hospital | General Acute Care Hospital | 350 Russo Dr, Hamden, CT 06518-1757 | 2008-09-25 |
| 1700810777 | Hartford Hospital | Nursing Facility/Intermediate Care Facility | 1 John H Stewart Dr, Newington, CT 06111-3126 | 2006-07-10 |
| 1790183515 | Hartford Hospital | Pharmacy | 85 Seymour St, Hartford, CT 06106-5501 | 2014-12-10 |
| 1457789810 | Hartford Hospital | General Acute Care Hospital | 80 Seymour St, Hartford, CT 06102-8000 | 2013-10-23 |
| 1114366382 | Hartford Hospital | General Acute Care Hospital | 80 Seymour St, Hartford, CT 06102-8000 | 2013-06-20 |
| 1114211703 | Hartford Hospital | General Acute Care Hospital | 80 Seymour St, Department of Pathology, Hartford Hospital, Hartford, CT 06102-8000 | 2011-06-01 |
| 1245545227 | Hartford Hospital | General Acute Care Hospital | 703 Hebron Ave, Glastonbury, CT 06033 | 2010-08-13 |
| 1972832871 | Hartford Hospital | General Acute Care Hospital | 80 Seymour St, Hartford, CT 06102-8000 | 2009-12-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Hartford Hospital | One Corporate Center, Hartford, CT 06103-3220 |
| System for Award Management (SAM) Entities | HARTFORD HOSPITAL | 80 Seymour St, Hartford, CT 06102-8000 |
| Connecticut Business Registrations | HARTFORD HOSPITAL REAL ESTATE CORPORATION | 80 Seymour Street, Hartford, CT 06115 |
| Connecticut Business Registrations | HARTFORD HOSPITALITY GROUP LLC | 31 Rolling Green, Middletown, CT 06457 |
| Street Address |
80 SEYMOUR ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06102-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207394 | Avinash Prasad | Psychiatry & Neurology | 80 Seymour St, Hartford Hospital Neurology Dept, Hartford, CT 06102-8000 | 2005-06-30 |
| 1215535935 | Lataya Hewitt | Nurse Practitioner | 80 Seymour St, Hartford, CT 06106-3315 | 2020-10-14 |
| 1629685938 | Nicole Martina | Nurse Practitioner | 80 Seymour St, Hartford, CT 06106-3315 | 2020-09-30 |
| 1477168011 | Cassidy Goodwin | Nurse Practitioner | 80 Seymour St, Hartford, CT 06102-8000 | 2020-09-10 |
| 1215541933 | Molly Zarnick | Speech-Language Pathologist | 80 Seymour St, Hartford, CT 06106-3300 | 2020-09-01 |
| 1306457320 | Taylor Merrick | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-08-13 |
| 1538770474 | Carlyn Esposito | Registered Nurse | 80 Seymour St, Hartford, CT 06106-3315 | 2020-08-13 |
| 1679184121 | Kimberly M Davis | Nurse Anesthetist, Certified Registered | 80 Seymour St, Hartford, CT 06106-3315 | 2020-08-10 |
| 1679182109 | Elsayed Elsayed Hassan Ibrahim | Student in an Organized Health Care Education/Training Program | 80 Seymour St, Hartford, CT 06102-8000 | 2020-07-30 |
| 1780292615 | Jordan Steven Totaro | Student in an Organized Health Care Education/Training Program | 80 Seymour St, Hartford, CT 06106-3315 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843616 | Michael Skolnick | Registered Nurse | West Grad Building, Institute of Living, 200 Retreat Ave, Hartford, CT 06102 | 2020-05-19 |
| 1942734058 | Giorgi Kveladze | Internal Medicine | 80 Seymour St. Hospitalist Devision, Hartford, CT 06102 | 2017-04-14 |
| 1902352248 | Safina Hafeez | Student in an Organized Health Care Education/Training Program | 80 Seymour Street Hartford Hospital, 3rd Floor Pathology, Hartford, CT 06102 | 2016-08-28 |
| 1154774990 | Neelam Khetpal | Internal Medicine | 80 Seymour St Bldg 502, Hartford, CT 06102 | 2016-07-17 |
| 1588073613 | Gene Pershwitz | Internal Medicine | 80 Seymour St Dept Jb704, Hartford, CT 06102 | 2014-08-02 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1619219219 | Hartford Hospital | Psychiatric Hospital | 200 Retreat St, Institute of Living, Hartford, CT 06102 | 2013-03-21 |
| 1548271141 | Pasquale F Finelli | Psychiatry & Neurology | 80 Seymour Street, Jb Suite 604, Hartford Hospital Neurology Dept., Hartford, CT 06102 | 2006-08-10 |
| 1265474340 | Gary Francis Nobert | Obstetrics & Gynecology | Hartford Hospital Ob Gyn Dept, 80 Seymour Street, Hartford, CT 06102 | 2006-06-12 |
| Find all providers in zip 06102 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407102312 | Gavrosh Faylayev | Psychiatric Unit | 200 Retreat Ave, Hartford, CT 06106-3309 | 2012-07-28 |
| 1144234428 | Saint Francis Hospital and Medical Center | Psychiatric Unit | 500 Blue Hills Ave, Hartford, CT 06112-1500 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295910966 | Danbury Office of Physician Services | Psychiatric Unit | 18 Great Plain Rd, Danbury, CT 06810-5022 | 2007-12-31 |
| 1891097879 | Family Psychiatric Services, LLC | Psychiatric Unit | 1 Evergreen Ave, Suite 34, Hamden, CT 06518-2717 | 2010-11-24 |
| 1891027728 | Natchaug Hospital | Psychiatric Unit | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2010-02-03 |
| 1326375486 | Yale University | Psychiatric Unit | 300 George St, Suite 901, New Haven, CT 06511-6624 | 2009-11-11 |
| 1770714453 | New England Psychiatric Associates LLC | Psychiatric Unit | 50 Hospital Hill Rd, Sharon, CT 06069-2096 | 2009-07-29 |
| 1649418575 | Echn Johnson Memorial Hospital, Inc. | Psychiatric Unit | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2009-01-30 |
| 1578769758 | Yale-new Haven Hospital | Psychiatric Unit | 230 South Frontage Road, Nihb205, New Haven, CT 06520-7900 | 2007-06-25 |
| 1306960596 | Vassar Health Connecticut, Inc. | Psychiatric Unit | 50 Hospital Hill Rd, Sharon, CT 06069 | 2007-03-16 |
| 1609928134 | Bridgeport Hospital | Psychiatric Unit | 267 Grant St, Bridgeport, CT 06610-2805 | 2007-01-17 |
| 1427100957 | Yale-new Haven Hospital | Psychiatric Unit | 20 York St, New Haven, CT 06504-8900 | 2007-01-17 |
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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.