FAMILY SERVICES OF GREATER WATERBURY (NPI# 1093125064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093125064 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICES OF GREATER WATERBURY |
| Practice Address |
14 Buckingham Street Waterbury CT 06710-1909 |
| Mailing Address |
34 Murray St Waterbury CT 06710-1920 |
| Practice Telephone | 2037590500 |
| Mailing Telephone | 2037568317 |
| Mailing Fax Number | 2037568310 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |
| Authorized Official Name | SANDRA J PORTEUS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2037590500 |
| 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) |
0571 | 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 |
| 1003987561 | Family Services of Greater Waterbury | Clinic/Center | 16 Hillside Ave, Naugatuck, CT 06770-4019 | 2006-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | FAMILY SERVICES OF GREATER WATERBURY, INC. | 34 Murray St., Waterbury, CT 06710 |
| Street Address |
14 BUCKINGHAM STREET |
| City | WATERBURY |
| State | CT |
| Zip Code | 06710-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417511718 | Michael A Mastroianni | Pharmacist | Stolls Pharmacy Inc, 185 Grove St, Waterbury, CT 06710 | 2019-04-23 |
| 1508127598 | Brenda Mcleod | Technician, Pathology | 150 Manhan St Bldg 8 Unit 5, Waterbury, CT 06710 | 2012-06-06 |
| 1659536936 | Michelle Gomes Ferreira-machado | Social Worker | 34 Murray St., Family Services of Greater Watebury, Waterbury, CT 06710 | 2008-07-25 |
| 1588699557 | Adriane Guerin | Physician Assistant | 179 Roseland Ave, Waterbury, CT 06710 | 2006-07-11 |
| 1013311554 | Chelsey Micciche | Student in an Organized Health Care Education/Training Program | 34 Murray Street, Waterbury, CT 06710 | 2014-10-13 |
| 1972905321 | Carmen Woodcock | Student in an Organized Health Care Education/Training Program | 34 Murray Street, Waterbury, CT 06710 | 2014-09-17 |
| 1841597663 | Avis Foster | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2011-02-14 |
| 1528364783 | Quiana Scott | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2011-02-07 |
| 1063716363 | Natalie Luciano | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2010-12-29 |
| 1134423437 | Mildred Figueroa | Social Worker | 34 Murray St., Waterbury, CT 06710 | 2010-12-29 |
| Find all providers in zip 06710 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669940599 | Porters House | Clinic/Center | 159 Edgewood Ave, Waterbury, CT 06706-2211 | 2018-11-08 |
| 1568835015 | Family Services of Greater Waterbury | Clinic/Center | 35 Park Place, Waterbury, CT 06702-1215 | 2015-11-05 |
| 1871505545 | Family Service of Greater Waterbury | Clinic/Center | 34 Murray St, Waterbury, CT 06710-1920 | 2006-08-12 |
| 1730729609 | Monarch Counseling Group, LLC | Clinic/Center | 32 Linden St, Waterbury, CT 06702-1301 | 2020-01-08 |
| 1346718921 | New Opportunities Inc. | Clinic/Center | 232 N Elm St, Waterbury, CT 06702-1516 | 2018-11-13 |
| 1700352721 | Connecticut Renaissance, Inc. | Clinic/Center | 527 Wolcott St, Waterbury, CT 06705-1240 | 2018-10-17 |
| 1962760561 | Wellmore, Inc | Clinic/Center | 402 East Main St, Waterbury Outpatient Behavioral Health Services, Waterbury, CT 06702-1701 | 2012-05-02 |
| 1669617973 | Connecticut Renaissance, Inc. | Clinic/Center | 70 Central Ave, Waterbury, CT 06702-1207 | 2008-12-16 |
| 1295980787 | Catholic Charities Inc - Archdiocese of Hartford | Clinic/Center | 13 Wolcott St, Waterbury, CT 06702-1727 | 2008-11-25 |
| 1780876078 | Waterbury Counseling Affiliates | Clinic/Center | 1078 W Main St, Waterbury, CT 06708 | 2007-08-10 |
| Find all providers in WATERBURY | ||||
Please comment or provide details below to improve the information on FAMILY SERVICES OF GREATER WATERBURY.
| 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.