MCCALL FOUNDATION, INC. (NPI# 1043362429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043362429 |
| Entity Type | Organization |
| Organization Name | MCCALL FOUNDATION, INC. |
| Practice Address |
58 High St Torrington CT 06790-5106 |
| Mailing Address |
58 High St P.o. Box 806 Torrington CT 06790-5106 |
| Practice Telephone | 8604962100 |
| Practice Fax Number | 8604962111 |
| Mailing Telephone | 8604962100 |
| Mailing Fax Number | 8604962111 |
| Enumeration Date | 2007-01-17 |
| 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 |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MHDT-0025 | CT | Ambulatory Health Care Facilities |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
SA-0031 | CT | Ambulatory Health Care Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | SA-0127 | CT | Residential Treatment Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
C-0245 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004159556 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104335041 | Mccall Foundation, Inc. | Substance Abuse Rehabilitation Facility | 17 Prospect Pl, Torrington, CT 06790-4919 | 2017-09-22 |
| 1225180391 | Mccall Foundation, Inc. | Substance Abuse Rehabilitation Facility | 127 Migeon Ave, Torrington, CT 06790-4816 | 2007-01-17 |
| 1467504779 | Mccall Foundation, Inc. | Community/Behavioral Health | 231 N Main St, Winsted, CT 06098-1245 | 2007-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MCCALL FOUNDATION, INC. | 58 High Street, P.o. Box 806, Torrington, CT 06790 |
| Street Address |
58 HIGH ST |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416001 | Albert Stokes | Counselor | 58 High St, Torrington, CT 06790-5106 | 2020-08-04 |
| 1013527159 | Paul Ryan | Counselor | 58 High St, Torrington, CT 06790-5106 | 2020-08-04 |
| 1275164154 | Leann Mitchell | Counselor | 58 High St, Torrington, CT 06790-5106 | 2020-01-30 |
| 1366901100 | Jillian Yard | Social Worker | 58 High St, Torrington, CT 06790-5106 | 2019-03-19 |
| 1093274292 | Rebecca A Humphrey | Social Worker | 58 High St, Torrington, CT 06790-5106 | 2019-03-18 |
| 1306305099 | Kelsey Eileen Rukstelis | Social Worker | 58 High St, Torrington, CT 06790-5106 | 2019-03-13 |
| 1568973899 | Erin O'neil | Social Worker | 58 High St, Torrington, CT 06790-5106 | 2017-10-13 |
| 1407366883 | Karin A Robinson | Counselor | 58 High St, Torrington, CT 06790-5106 | 2017-10-11 |
| 1336676386 | William Roux Jr. | Pharmacist | 58 High St, Torrington, CT 06790-5106 | 2017-05-20 |
| 1104105667 | Maria E Coutant | Social Worker | 58 High St, Torrington, CT 06790-5106 | 2011-08-15 |
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| 1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
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| 1093232597 | Joongwan Jay Kim | Pharmacist | 28 E Elm Street, Torrington, CT 06790 | 2017-08-25 |
| 1861869018 | Breanna M Berg | Physical Therapist | 30 Peck Road, Building #1; Suite 1101, Torrington, CT 06790 | 2015-08-24 |
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| 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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|---|---|---|---|---|
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| City | TORRINGTON |
| Zip Code | 06790 |
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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.