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GREATER HARTFORD WELLNESS NPI 1578920187


NPI Information

NPI: 1578920187
Provider Name: GREATER HARTFORD WELLNESS
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 07D2211781

Address:
10 N MAIN ST
SUITE 204
WEST HARTFORD, CT
ZIP 06107
Phone: (860) 878-2028
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GREATER HARTFORD WELLNESS is a community behavioral health in West Hartford, CT. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. GREATER HARTFORD WELLNESS NPI is 1578920187. The provider is registered as an organization entity type.

The provider's business location address is:

10 N MAIN ST
SUITE 204
WEST HARTFORD, CT
ZIP 06107-968
Phone: (860) 878-2028
Fax: (860) 236-2016

The provider's authorized official is Kathleen C Wawrzyniak Webb .
The authorized official title is Psychologist and has the following contact phone number (860) 878-2028.

The CLIA number assigned to this NPI record is 07D2211781 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2016 and was last updated on 1/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health3003CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1008045960MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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