1. Home
  2. Directory
  3. Connecticut
  4. Windsor
  5. Dermatology
  6. NPI Profile

DERMATOLOGY CARE CENTER LLC
NPI 1063350957
Dermatology - Clinical & Laboratory Dermatological Immunology in Windsor, CT

Active since March 23, 2026CLIA 07D2341779 · Microscopy
74 MACK ST, WINDSOR, CT 06095(860) 219-1922(860) 219-9385 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dermatology Care Center Llc NPPES

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

DERMATOLOGY CARE CENTER LLC (NPI 1063350957) is a healthcare organization registered as a clinical & laboratory dermatological immunology in Windsor, Connecticut and active in the NPI registry since March 2026. The organization holds a CLIA Microscopy certificate valid through April 7, 2028 and lists Sharon M Christie, Owner, as its authorized official.

NPPES Registry Identity

NPI1063350957
Entity TypeOrganization
Primary Taxonomy207NI0002X
Legal Business NameDERMATOLOGY CARE CENTER LLC
Location Address74 MACK STWindsor, CT 06095-2759
Mailing Address74 Mack StWindsor, CT 06095-2759 · (860) 916-3939
Phone(860) 219-1922
Fax(860) 219-9385
Organization SubpartNo
Authorized OfficialSharon M ChristieOwner · (860) 916-3939
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1063350957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207NI0002X
Definition

A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

74 MACK ST, Windsor, CT 06095
Open in Google Maps ↗

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 for Provider-Performed Microscopy Procedures (PPMP) 07D2341779

Dermatology Care Center · Windsor, CT
Active · expires Apr 7, 2028
CLIA Number07D2341779
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorSharon M. Christie
Laboratory Phone(860) 219-1922
Laboratory LocationDermatology Care Center74 Mack St, Windsor, CT 06095
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

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

DR. IAN D KLEINHEN M.D.
Internal Medicine
74 MACK ST
WINDSOR, CT 06095
Capitol Planning Region (860) 298-8830
DR. SHAHENA MASTER D.O.
Internal Medicine
74 MACK ST
WINDSOR, CT 06095
Capitol Planning Region (860) 298-8830
DR. MAHAMMED PARVEZ SAIYED M.D
Family Medicine
74 MACK ST
WINDSOR, CT 06095
Capitol Planning Region (860) 298-8830
BLOOMFIELD FOOT SPECIALISTS,LLC
Podiatrist (Primary Podiatric Medicine)
74 MACK ST
WINDSOR, CT 06095
Capitol Planning Region (860) 243-2951
WINDSOR MEDICAL ASSOCIATES LLC
Internal Medicine
74 MACK ST
WINDSOR, CT 06095
Capitol Planning Region (860) 298-8830
DR. DAVID R SHERWOOD M.D.
Internal Medicine
74 MACK ST
WINDSOR, CT 06095
Capitol Planning Region (860) 298-8830
DR. JOSEPH M MISIAK M.D.
Internal Medicine
74 MACK ST
WINDSOR, CT 06095
Capitol Planning Region (860) 298-8830
QUEST DIAGNOSTICS LLC
Clinical Medical Laboratory
74 MACK ST
WINDSOR, CT 06095
Capitol Planning Region (877) 868-2191

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 Dermatology Care Center LLC's NPI number?

The NPI number for Dermatology Care Center LLC is 1063350957. It was assigned to this organization in the NPPES registry on March 23, 2026.

Where is Dermatology Care Center LLC located?

Dermatology Care Center LLC is located at 74 Mack St, Windsor, CT 06095. The listed phone number is (860) 219-1922.

What is Dermatology Care Center LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

Does Dermatology Care Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 07D2341779) is associated with this NPI, valid through April 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology Care Center LLC was last updated on March 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.