MANCHESTER MEMORIAL HOSPITAL, INC.
NPI 1295695039
Psychiatric Unit in Manchester, CT

Active since November 14, 2025
71 HAYNES ST, MANCHESTER, CT 06040(860) 646-1222 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 20, 2026, Nov 14, 2025 (2 updates tracked since 2025).

About Manchester Memorial Hospital, Inc. NPPES

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

MANCHESTER MEMORIAL HOSPITAL, INC. (NPI 1295695039) is a healthcare organization registered as a psychiatric unit in Manchester, Connecticut and active in the NPI registry since November 2025. The organization lists Gerald Boisvert, Sr Vice President, as its authorized official.

NPPES Registry Identity

NPI1295695039
Entity TypeOrganization
Primary Taxonomy273R00000X
Legal Business NameMANCHESTER MEMORIAL HOSPITAL, INC.
Location Address71 HAYNES STManchester, CT 06040-4188
Mailing Address1290 Silas Deane Hwy Ste 102Wethersfield, CT 06109-4337 · (860) 972-3075 · Fax (860) 972-7040
Organization SubpartNo
Authorized OfficialGerald BoisvertSr Vice President · (860) 263-4190
Enumeration DateNovember 14, 2025
Last NPPES UpdateApril 20, 20262 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1295695039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
71 HAYNES ST, Manchester, CT 06040

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manchester Memorial Hospital, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

60

Medicare enrollment records show 60 clinicians reassign Medicare billing to Manchester Memorial Hospital, Inc., which bills Medicare for the services they deliver. Of these, 18 practice at this address and 51 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Clinical Social Worker29
Psychiatry18
Mental Health Counselor9
Nurse Practitioner2
Certified Clinical Nurse Specialist (CNS)1
Emergency Medicine1

Nearest to this location (20)

See all 60
Nurse Practitioner
NPI 1265546774
71 HAYNES ST
Manchester, CT 06040
(860) 533-3494
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1104886084
71 HAYNES ST
Manchester, CT 06040
(860) 646-1222
✔ PECOSSame address
Clinical Social Worker
NPI 1063883627
71 HAYNES ST
Manchester, CT 06040
(860) 646-1222
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1083895825
71 HAYNES ST
Manchester, CT 06040
(860) 647-4417
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1235661984
71 HAYNES ST
Manchester, CT 06040
(860) 533-3494
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1144633546
71 HAYNES ST
Manchester, CT 06040
(860) 647-6827
✔ PECOSSame address
Clinical Social Worker
NPI 1184031171
71 HAYNES ST
Manchester, CT 06040
(860) 646-1222
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1407094584
71 HAYNES ST
Manchester, CT 06040
(860) 647-4417
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1619493400
71 HAYNES ST
Manchester, CT 06040
(860) 648-6800
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1578876801
71 HAYNES ST
Manchester, CT 06040
(860) 647-6831
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1225674252
71 HAYNES ST
Manchester, CT 06040
(860) 533-3434
✔ PECOSSame address
Clinical Social Worker
NPI 1235180837
71 HAYNES ST
Manchester, CT 06040
(860) 533-3494
✔ PECOSSame address
Psychiatry
NPI 1801109665
71 HAYNES ST. MANCHESTER MEMORIAL HOSPITAL
Manchester, CT 06040
(860) 533-3434
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619584364
71 HAYNES ST
Manchester, CT 06040
(860) 533-3494
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1174079172
71 HAYNES ST
Manchester, CT 06040
(860) 533-3494
✔ PECOS✔ Accepts MedicareSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1750344123
71 HAYNES ST
Manchester, CT 06040
(860) 646-1222
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1386897122
71 HAYNES ST MANCHESTER MEMORIAL HOSPITAL
Manchester, CT 06040
(860) 533-3494
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1942350467
MANCHESTER MEMORIAL HOSPITAL 71 HAYNES ST
Manchester, CT 06042
(860) 533-3434
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1871568964
71 HAYNES ST MANCHESTER MEMORIAL HOSPITAL
Manchester, CT 06040
(860) 647-4738
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1427006642
71 HAYNES ST
Manchester, CT 06040
(860) 646-1222
✔ PECOS✔ Accepts Medicare0.1 mi
See all 60 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Manchester Memorial Hospital, Inc.'s NPI number?

The NPI number for Manchester Memorial Hospital, Inc. is 1295695039. It was assigned to this organization in the NPPES registry on November 14, 2025.

Where is Manchester Memorial Hospital, Inc. located?

Manchester Memorial Hospital, Inc. is located at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 646-1222.

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

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

Is Manchester Memorial Hospital, Inc. enrolled in Medicare?

Yes. Manchester Memorial Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Manchester Memorial Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 60 clinicians in 6 Medicare specialties reassign their Medicare billing to Manchester Memorial Hospital, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (29), Psychiatry (18) and Mental Health Counselor (9). Of these, 18 practice at this address and 51 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Manchester Memorial Hospital, Inc. was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.