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WBC CONNECTICUT EAST, LLC
NPI 1730442179
Clinic/Center - Adult Mental Health in South Windsor, CT

Active since June 20, 2012
2400 TAMARACK AVE, SUITE 203, SOUTH WINDSOR, CT 06074(860) 533-4672(860) 533-4673 Get Directions Write a Review

NPPES record last updated: October 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wbc Connecticut East, Llc NPPES

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

WBC CONNECTICUT EAST, LLC (NPI 1730442179) is a healthcare organization registered as an adult mental health in South Windsor, Connecticut and active in the NPI registry since June 2012. The organization lists Stuart Koman, Ceo / Owner, as its authorized official.

NPPES Registry Identity

NPI1730442179
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameWBC CONNECTICUT EAST, LLC
Location Address2400 TAMARACK AVE, SUITE 203South Windsor, CT 06074-5555
Mailing Address880 Main StWaltham, MA 02451-8500 · (781) 647-6767 · Fax (781) 647-6755
Phone(860) 533-4672
Fax(860) 533-4673
Organization SubpartYesParent: Walden Behavioral Care, Llc
Authorized OfficialStuart KomanCeo / Owner · (781) 647-6701
Enumeration DateJune 20, 2012
Last NPPES UpdateOctober 4, 2012
✔ NPI 1730442179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
2400 TAMARACK AVE, South Windsor, CT 06074
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Other Providers at the Same Location NPPES 5

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

DR. MARCY LYNN QURESHI D.O.
Internal Medicine (Gastroenterology)
2400 TAMARACK AVE, SUITE 101
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 644-4442
MS. BETH A LEMEK PA-C
Physician Assistant (Medical)
2400 TAMARACK AVE, SUITE 101
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 644-4442
DR. JEFFREY ROBERT BREITER M.D.
Internal Medicine (Gastroenterology)
2400 TAMARACK AVE, SUITE 101
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 644-4442
MR. JOHN D WYSOCKI MD
Internal Medicine (Gastroenterology)
2400 TAMARACK AVE, SUITE 101
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 644-4442
SARAH BLUMENGARTEN CRAWFORD PSY.D.
Psychologist (Clinical Child & Adolescent)
2400 TAMARACK AVE, STE 201
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 432-1199

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 Wbc Connecticut East, LLC's NPI number?

The NPI number for Wbc Connecticut East, LLC is 1730442179. It was assigned to this organization in the NPPES registry on June 20, 2012.

Where is Wbc Connecticut East, LLC located?

Wbc Connecticut East, LLC is located at 2400 Tamarack Ave Suite 203, South Windsor, CT 06074. The listed phone number is (860) 533-4672.

What is Wbc Connecticut East, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Wbc Connecticut East, LLC was last updated on October 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.