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STAYWELL HEALTH CARE, INC.
NPI 1154342335
Family Medicine in Waterbury, CT

Active since July 22, 2006
80 PHOENIX AVE, WATERBURY, CT 06702(203) 756-8021(203) 596-9038 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2020, Mar 17, 2018 (2 updates tracked since 2018).

About Staywell Health Care, Inc. NPPES

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

STAYWELL HEALTH CARE, INC. (NPI 1154342335) is a healthcare organization registered as a family medicine in Waterbury, Connecticut and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Waterbury and lists Donald Thompson, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1154342335
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTAYWELL HEALTH CARE, INC.
Location Address80 PHOENIX AVEWaterbury, CT 06702-1418
Mailing Address80 Phoenix Ave, Suite 201Waterbury, CT 06702-1418 · (203) 756-8021 · Fax (203) 596-9038
Phone(203) 756-8021
Fax(203) 596-9038
Organization SubpartNo
Authorized OfficialDonald ThompsonPresident & Ceo · (203) 756-8021
Enumeration DateJuly 22, 2006
Last NPPES UpdateJanuary 9, 20202 updates tracked since enumeration
✔ NPI 1154342335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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 ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 0360 (CT)
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 0736 (CT)
80 PHOENIX AVE, Waterbury, CT 06702
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Secondary Practice Location 1

Location 1402 E Main StWaterbury, CT 06702-1701 · Phone (203) 756-8021 · Fax (203) 596-9038

Other Identifiers 3

Medicaid004235976CT
Medicaid004235968CT
Medicaid004235984CT

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

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.

ELIAS C DEROS DMD LLC
Dentist
80 PHOENIX AVE, SUITE 305
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 755-4403
EDGAR CATALA MD
Internal Medicine
80 PHOENIX AVE, SUITE 303
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 756-8459
EILEEN M CONDON APRN
Nurse Practitioner (Family)
80 PHOENIX AVE
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 756-8021
MS. SAKINAH NACOLE FREEMAN LMSW
Social Worker
80 PHOENIX AVE
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 756-8021
PENNY MONTY-CARBONARI APRN
Nurse Practitioner (Family)
80 PHOENIX AVE
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 756-8021
GEORGE GOGAS LMSW
Social Worker (Clinical)
80 PHOENIX AVE, SUITE 201
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 756-8021
DR. ELIAS CONSTANTINE DEROS DMD
Dentist
80 PHOENIX AVE, SUITE 305
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 755-4403
ALYSON NICOLOSI APRN
Nurse Practitioner (Psychiatric/Mental Health)
80 PHOENIX AVE, SUITE 201
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 756-8021

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 1154342335. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Staywell Health Care, Inc. located?

Staywell Health Care, Inc. is located at 80 Phoenix 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.

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 with the weekly NPPES data releases published by CMS.