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STAYWELL HEALTH CARE INC/G.W. MENTAL/AUTH
NPI 1033366240
Family Medicine in Waterbury, CT

Active since August 20, 2008CLIA 07D0861657 · Waiver
95 THOMASTON AVE, WATERBURY, CT 06702(203) 756-8021(203) 805-4913 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2020, Jan 2, 2020 (2 updates tracked since 2020).

About Staywell Health Care Inc/g.w. Mental/auth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAYWELL HEALTH CARE INC/G.W. MENTAL/AUTH (NPI 1033366240) is a healthcare organization registered as a family medicine in Waterbury, Connecticut and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through September 6, 2026 and lists Donald Thompson, President, as its authorized official.

NPPES Registry Identity

NPI1033366240
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTAYWELL HEALTH CARE, INC.
Location Address95 THOMASTON AVEWaterbury, CT 06702-1007
Mailing Address80 Phoenix Ave Ste 201Waterbury, CT 06702-1418 · (203) 756-8021 · Fax (203) 596-9038
Phone(203) 756-8021
Fax(203) 805-4913
Organization SubpartNo
Authorized OfficialDonald ThompsonPresident · (203) 756-8021
Enumeration DateAugust 20, 2008
Last NPPES UpdateJanuary 9, 20202 updates tracked since enumeration
✔ NPI 1033366240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
95 THOMASTON AVE, Waterbury, CT 06702
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Other Names 1

Other NameStaywell Health Care Inc/g.w. Mental/auth

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0861657

Staywell Health Center · Waterbury, CT
Active · expires Sep 6, 2026
CLIA Number07D0861657
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 7, 2024
Certificate Expiration DateSeptember 6, 2026
Laboratory DirectorTess Lombard
Laboratory Phone(203) 756-8021
Laboratory LocationStaywell Health Center80 Phoenix Avenue, Waterbury, CT 06702
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA ANN DUPREE-BAUTISTA LCSW
Social Worker (Clinical)
95 THOMASTON AVE
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-5383
MRS. IVELISSE SOTO LCSW
Social Worker (Clinical)
95 THOMASTON AVE
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-5378
ELEANOR ELIZABETH STUTZ M.D.
Psychiatry & Neurology (Psychiatry)
95 THOMASTON AVE, DMHAS - WCMHN
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-5300
JOCELYNE MARTIN-KARAM APRN
Nurse Practitioner (Psychiatric/Mental Health)
95 THOMASTON AVE
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-5328
MS. ARLENE MARIE GARCIA LCSW
Social Worker (Clinical)
95 THOMASTON AVE, WESTERN CT MENTAL HEALTH NETWORK
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-5305
ROSINA I BANDANZA MD
Psychiatry & Neurology (Psychiatry)
95 THOMASTON AVE, WESTERN CONNECTICUT MENATL HEALTH NETWORK
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-5300
MRS. AMANDA R. GRIFFIN-SERGEL LCSW
Social Worker (Clinical)
95 THOMASTON AVE
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-5300
DAISY SANTIAGO-LEVASSEUR LCSW
Social Worker (Clinical)
95 THOMASTON AVE
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 805-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Staywell Health Care, Inc.'s NPI number?

The NPI number for Staywell Health Care, Inc. is 1033366240. It was assigned to this organization in the NPPES registry on August 20, 2008. The provider is also known as Staywell Health Care Inc/G.W. Mental/Auth.

Where is Staywell Health Care, Inc. located?

Staywell Health Care, Inc. is located at 95 Thomaston Ave, Waterbury, CT 06702. The listed phone number is (203) 756-8021.

What is Staywell Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Staywell Health Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0861657) is associated with this NPI, valid through September 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Staywell Health Care, Inc. was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.