JOHNSON MEMORIAL HOSPITAL, INC.
NPI 1053480293
Psychiatric Unit in Stafford Springs, CT

Active since November 06, 2006CLIA 07D0644540 · Accreditation
201 CHESTNUT HILL RD, STAFFORD SPRINGS, CT 06076(860) 684-4251 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2026, Jan 9, 2025 (2 updates tracked since 2025).

About Johnson Memorial Hospital, Inc. NPPES

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

JOHNSON MEMORIAL HOSPITAL, INC. (NPI 1053480293) is a healthcare organization registered as a psychiatric unit in Stafford Springs, Connecticut and active in the NPI registry since November 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Antonio Perugion, Vice President And Regional Cfo, as its authorized official.

NPPES Registry Identity

NPI1053480293
Entity TypeOrganization
Primary Taxonomy273R00000X
Legal Business NameJOHNSON MEMORIAL HOSPITAL, INC.
Location Address201 CHESTNUT HILL RDStafford Springs, CT 06076-4005
Mailing Address201 Chestnut Hill RdStafford Springs, CT 06076-4005 · (860) 684-4251
Organization SubpartYesParent: Trinity Health - New England, Inc.
Authorized OfficialAntonio PerugionVice President And Regional Cfo · (860) 714-4714
Enumeration DateNovember 6, 2006
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
NPI 1053480293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatric UnitHospital Units
Taxonomy Code273R00000X
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 0072 (CT)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 0072 (CT)
201 CHESTNUT HILL RD, Stafford Springs, CT 06076

Other Identifiers 2

Medicaid4024980CT
Medicaid4041687CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Accreditation 07D0644540

Johnson Memorial Hospital Inc Johnson Memorial Hospital Laboratory · Stafford Springs, CT
Active · expires Jan 2, 2027
CLIA Number07D0644540
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Allison M. Wasserman
Laboratory Phone(860) 684-8514
Laboratory LocationJohnson Memorial Hospital Inc Johnson Memorial Hospital Laboratory201 Chestnut Hill Rd, Stafford Springs, CT 06076
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Anesthesiology
201 CHESTNUT HILL RD, DEPARTMENT OF ANESTHESIA
STAFFORD SPRINGS, CT 06076
Anesthesiology
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Hospitalist
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Anesthesiology
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Pathology (Anatomic Pathology & Clinical Pathology)
201 CHESTNUT HILL RD, JOHNSON MEMORIAL HOSPITAL
STAFFORD SPRINGS, CT 06076
Emergency Medicine
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Emergency Medicine
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076

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 Johnson Memorial Hospital, Inc.'s NPI number?

The NPI number for Johnson Memorial Hospital, Inc. is 1053480293. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is Johnson Memorial Hospital, Inc. located?

Johnson Memorial Hospital, Inc. is located at 201 Chestnut Hill Rd, Stafford Springs, CT 06076. The listed phone number is (860) 684-4251.

What is Johnson Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatric Unit with taxonomy code 273R00000X.

Does Johnson Memorial Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 07D0644540) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Johnson Memorial Hospital, Inc. was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.