THE WELLSPRING FOUNDATION, INC. (NPI# 1154475184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154475184 |
| Entity Type | Organization |
| Organization Name | THE WELLSPRING FOUNDATION, INC. |
| Practice Address |
21 Arch Bridge Rd. Bethlehem CT 06751-0370 |
| Mailing Address |
21 Arch Bridge Rd. P.o. Box 370 Bethlehem CT 06751-0370 |
| Practice Telephone | 2032668000 |
| Practice Fax Number | 2032668030 |
| Mailing Telephone | 2032668000 |
| Mailing Fax Number | 2032668030 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-11-13 |
| Authorized Official Name | MR. HARVEY NEWMAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2032668110 |
| Authorized Official Credential | M.ED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 323P00000X | Psychiatric Residential Treatment Facility | CCF RT 26 | CT | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004040929 | 05 |
| Street Address |
21 ARCH BRIDGE RD. |
| City | BETHLEHEM |
| State | CT |
| Zip Code | 06751-0370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578123436 | Towne Apothecary LLC | Pharmacy | 95 Main St South, Bethlehem, CT 06751 | 2019-06-13 |
| 1780031476 | Margaret Biggart | Counselor | 98 Todd Hill Rd, Bethlehem, CT 06751 | 2016-05-23 |
| 1538590922 | Holly Andrea Leever | Acupuncturist | 381 Guilds Hollow Rd, Bethlehem, CT 06751 | 2013-12-10 |
| 1932105293 | Bethlehem Ambulance Association Inc | Ambulance | Main St South, Bethlehem, CT 06751 | 2005-06-22 |
| 1922351667 | Catherine Nagle | Counselor | 21 Arch Bridge Rd, Bethlehem, CT 06751 | 2012-10-18 |
| 1508195959 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 64 Double Hill Rd, Bethlehem, CT 06751 | 2009-12-14 |
| 1962575407 | Andrew C. Wells | Family Medicine | 22east St, Bethlehem, CT 06751-0490 | 2006-11-15 |
| 1407417124 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 98 Todd Hill Rd, Bethlehem, CT 06751-1018 | 2019-06-24 |
| 1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
| 1487609921 | Cathy Hulbert Laney | Nurse Practitioner | 64 Double Hill Rd, Bethlehem, CT 06751-1101 | 2006-05-23 |
| Find all providers in zip 06751 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366781866 | Sovereign Journey L3c | Psychiatric Residential Treatment Facility | 2444 Main St, Bethlehem, NH 03574-4916 | 2013-02-05 |
| 1215072780 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 637 11th Avenue, Bethlehem, PA 18017 | 2007-02-21 |
| 1073658860 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 2958 Linden Street, Bethlehem, PA 18017 | 2007-02-20 |
| 1841362167 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 1650 Broadway, Bethlehem, PA 18015 | 2006-11-14 |
| 1508195959 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 64 Double Hill Rd, Bethlehem, CT 06751 | 2009-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144788522 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 929 Newfield Ave, Stamford, CT 06905-2520 | 2019-03-05 |
| 1972044683 | Discovery Practice Management | Psychiatric Residential Treatment Facility | 600 Wellington Dr, Fairfield, CT 06824-1984 | 2017-03-14 |
| 1487108908 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 3530 Post Rd Ste 306, Southport, CT 06890 | 2016-08-12 |
| 1285015370 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 615 Mine Hill Rd, Fairfield, CT 06824-2154 | 2015-06-15 |
| 1083095442 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 4536 Congress St, Fairfield, CT 06824-1721 | 2015-06-11 |
| 1134500507 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 1320 Mill Hill Rd, Southport, CT 06890-3017 | 2015-06-11 |
| 1154515435 | Gilead Community Services, Inc. | Psychiatric Residential Treatment Facility | 436 Washington St, Middletown, CT 06457-2527 | 2007-08-30 |
| 1487846044 | Gilead Community Services, Inc. | Psychiatric Residential Treatment Facility | 453 High St, Middletown, CT 06457-2612 | 2007-08-16 |
| 1780876839 | Gilead Community Services, Inc. | Psychiatric Residential Treatment Facility | 89 High St, Clinton, CT 06413-1715 | 2007-08-13 |
| 1376699397 | Klingberg Comprehensive Program Services | Psychiatric Residential Treatment Facility | 370 Linwood St, New Britain, CT 06052 | 2007-01-25 |
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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.