Staywell Health Care INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Waterbury, Connecticut
1083022230- Practice location
- 402 E Main St, Waterbury, CT 06702-1701
- Phone
- 203-755-1143
- Fax
- 203-753-3274
- Last updated
- February 12, 2018
Staywell Health Care INC is a healthcare organization based in Waterbury, CT. Staywell Health Care INC practices in Waterbury, CT. The NPI Number for Staywell Health Care INC is 1083022230 and holds a License No. 0479 (CT). The current practice location address for Staywell Health Care INC is 402 E Main St, Waterbury, CT 06702-1701 and can be reached out via phone at 203-755-1143 and via fax at 203-753-3274.
Provider Profile Details
- NPI Number
- 1083022230
- Provider Name
- Staywell Health Care INC
- Provider Entity Type
- Organization
- Address
- 402 E Main St, Waterbury, CT 06702-1701
- Phone Number
- 203-755-1143
- Fax Number
- 203-753-3274
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Don Thompson · Ceo · 203-756-8021
- Provider Enumeration Date
- July 31, 2014
- Last Update Date
- February 12, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 402 E Main St
Waterbury, CT 06702-1701 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-1701
- Phone Number
- 203-755-1143
- Fax Number
- 203-753-3274
Provider Business Mailing Address Details
- Address
- 80 Phoenix Ave
Suite 201
Waterbury, CT 06702-1418 - City
- Waterbury
- State
- CT
- Zip
- 06702-1418
- Phone Number
- 203-756-8021
- Fax Number
- 203-596-9038
License Information
- License Number (1)
- 0479
- License State (1)
- CT
- Taxonomy (1)
- Family Medicine, Addiction Medicine · 207QA0401X
- License Number (2)
- 0479
- License State (2)
- CT
- Taxonomy (2)
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- License Number (3)
- 0479
- License State (3)
- CT
- Taxonomy (3)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers near Waterbury, CT
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Frequently Asked Questions
What is the NPI number of Staywell Health Care INC?
The NPI number of Staywell Health Care INC is 1083022230. It was assigned on July 31, 2014 and is currently active in the NPPES registry.
What is the specialty of Staywell Health Care INC?
Staywell Health Care INC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X), licensed in CT under license number 0479.
Where does Staywell Health Care INC practice?
The practice location is 402 E Main St, Waterbury, CT 06702-1701. The office can be reached at 203-755-1143 (phone) or 203-753-3274 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083022230 directly on the NPPES registry website.