CATHOLIC CHARITIES - STAMFORD (CATHOLIC CHARITIES OF FAIRFIELD COUNTY, INC.) NPI 1831314269

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Stamford, CT

NPI 1831314269 Organization Clinic/Center Mental Health (Including Community Menta...

About CATHOLIC CHARITIES - STAMFORD (CATHOLIC CHARITIES OF FAIRFIELD COUNTY, INC.)

Catholic Charities - Stamford (catholic Charities Of Fairfield County, Inc.) is a provider established in Stamford, Connecticut specializing in clinic/center (mental health (including community mental health center)) . The NPI number of Catholic Charities - Stamford (catholic Charities Of Fairfield County, Inc.) is 1831314269 and was assigned on April 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is Catholic Charities - Stamford. The authorized official of this NPI record is Al Barber (President & Chief Operating Officer)

NPI

1831314269

Provider NameCATHOLIC CHARITIES - STAMFORD (CATHOLIC CHARITIES OF FAIRFIELD COUNTY, INC.)
Provider Location Address30 MYANO LN SUITE 12 STAMFORD, CT 06902
Provider Mailing Address30 MYANO LN SUITE 12 STAMFORD, CT 06902
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCATHOLIC CHARITIES - STAMFORD
Other Name TypeOther Name (5)
Enumeration Date04-13-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code261QM0801X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)

Business Address

CATHOLIC CHARITIES - STAMFORD
30 MYANO LN
SUITE 12
STAMFORD, CT
ZIP 06902
Phone: (203) 323-1105
Fax: (203) 323-1108

Get Directions


Mailing Address

CATHOLIC CHARITIES - STAMFORD
30 MYANO LN
SUITE 12
STAMFORD, CT
ZIP 06902
Phone: (203) 323-1105
Fax: (203) 323-1108



Authorized Official

Authorized Official Name AL BARBER
Authorized Official TitlePRESIDENT & CHIEF OPERATING OFFICER
Authorized Official Phone(203) 416-1307

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthN/A

Taxonomy Description: an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

2261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthN/A

Taxonomy Description: an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811137649DR. CHARLES EVERS WHYTE MS, DC
Individual
Chiropractor (Nutrition)30 MYANO LN SUITE 26
STAMFORD, CT 06902
(203) 708-9299
1457711954TERAPIA DE JUEGO, LLC
Organization
Community/Behavioral Health30 MYANO LN SUITE 20
STAMFORD, CT 06902
(220) 388-3813
1093283442 JUDITH PAZMINO LPC
Individual
Counselor (Professional)30 MYANO LN
STAMFORD, CT 06902
(203) 883-8135
1518425578ANCHOR HEALTH INITIATIVE CORP.
Organization
Pharmacy (Community/Retail Pharmacy)30 MYANO LN
STAMFORD, CT 06902
(202) 674-1102
1740446301DR. THOMAS JUDE MCQUAID DNP
Individual
Nurse Practitioner (Family)30 MYANO LN
STAMFORD, CT 06902
(203) 674-1102

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.