FAMILY SERVICES OF GREATER WATERBURY (NPI# 1003987561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003987561 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICES OF GREATER WATERBURY |
| Practice Address |
16 Hillside Ave Naugatuck CT 06770-4019 |
| Practice Telephone | 2037205060 |
| Practice Fax Number | 2037205061 |
| Mailing Telephone | 2037205060 |
| Mailing Fax Number | 2037205061 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SANDRA J PORTEUS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2037568317 |
| 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) |
0406 | CT | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568835015 | Family Services of Greater Waterbury | Clinic/Center | 35 Park Place, Waterbury, CT 06702-1215 | 2015-11-05 |
| 1093125064 | Family Services of Greater Waterbury | Clinic/Center | 14 Buckingham Street, Waterbury, CT 06710-1909 | 2014-04-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | FAMILY SERVICES OF GREATER WATERBURY, INC. | 34 Murray St., Waterbury, CT 06710 |
| Street Address |
16 HILLSIDE AVE |
| City | NAUGATUCK |
| State | CT |
| Zip Code | 06770-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953210 | Vivaldi Demas | Social Worker | 16 Hillside Ave, Naugatuck, CT 06770-4019 | 2020-08-20 |
| 1508492059 | Catherine Palazzolo | Social Worker | 16 Hillside Ave, Naugatuck, CT 06770-4019 | 2020-03-17 |
| 1518506328 | Amber Borges | Social Worker | 16 Hillside Ave, Naugatuck, CT 06770-4019 | 2019-12-26 |
| 1093359481 | Gleish Gonzalez-orama | Social Worker | 16 Hillside Ave, Naugatuck, CT 06770-4019 | 2019-10-29 |
| 1134785561 | Jessica Pittman | Counselor | 16 Hillside Ave, Naugatuck, CT 06770-4019 | 2019-05-10 |
| 1912561945 | Licella Arboleda | Counselor | 16 Hillside Ave, Naugatuck, CT 06770-4019 | 2019-04-25 |
| 1265095616 | Karie Decicco | Counselor | 16 Hillside Ave, Naugatuck, CT 06770-4019 | 2019-04-20 |
| 1093270142 | Emily Carpenter | Counselor | 16 Hillside Ave, Naugatuck, CT 06770-4019 | 2019-02-04 |
| 1710459888 | Kaitlyn Cecelia Demas | Counselor | 16 Hillside Ave, Naugatuck, CT 06770-4019 | 2018-12-29 |
| 1457823395 | Christopher Phipps | Counselor | 16 Hillside Ave, Naugatuck, CT 06770-4019 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447767553 | Brittany Sauers | Occupational Therapist | 1261 South Main Street, Plansville, CT 06770 | 2018-01-10 |
| 1306350756 | Sheila I Negron | Social Worker | 150 Meadow St, Naugatuck, CT 06770 | 2017-11-21 |
| 1366873390 | Megan Robert Raniolo | Speech-Language Pathologist | 9 Hazel Avenue, Naugatuck, CT 06770 | 2013-12-02 |
| 1679831192 | Kelly Morin-irwin | Physical Therapist | 4 Hazel Av, Naugatuck, CT 06770 | 2012-05-03 |
| 1053680025 | Sandra Porino Heller | Social Worker | 29 Coventry Lane, Naugatuck, CT 06770 | 2011-12-21 |
| 1902191406 | Danielle Marie Dunn | Physical Therapist | 1183 New Haven Road, Naugatuck, CT 06770 | 2011-06-13 |
| 1750692166 | Acuity House Call | Internal Medicine | 21 Church Street, Naugatuck, CT 06770 | 2010-06-30 |
| 1356465892 | Jodi Sue Rodriguez | Occupational Therapy Assistant | 89 Weid Drive, Beacon Brook Health Center, Naugatuck, CT 06770 | 2007-03-19 |
| 1861563686 | Naugatuck Ambulance Inc | Ambulance | 246 Rubber Ave, Naugatuck, CT 06770 | 2006-11-13 |
| 1730292822 | Molecular Diagnostic Laboratory LLC | Clinical Medical Laboratory | 131 Quinn St, Naugatuck, CT 06770 | 2006-08-16 |
| Find all providers in zip 06770 | ||||
| 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.