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STAYWELL SOUTH MAIN
NPI 1932355567
Family Medicine in Waterbury, CT

Active since August 14, 2008
1302 S MAIN ST, WATERBURY, CT 06706(203) 756-8021(203) 596-9038 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Staywell South Main NPPES

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

STAYWELL SOUTH MAIN (NPI 1932355567) is a healthcare organization registered as a family medicine in Waterbury, Connecticut and active in the NPI registry since August 2008. The organization lists Donald Thompson, President, as its authorized official.

NPPES Registry Identity

NPI1932355567
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTAYWELL HEALTH CARE, INC.
Location Address1302 S MAIN STWaterbury, CT 06706-1748
Mailing Address80 Phoenix Ave Ste 201Waterbury, CT 06702-1418 · (203) 756-8021 · Fax (203) 596-9038
Phone(203) 756-8021
Fax(203) 596-9038
Organization SubpartNo
Authorized OfficialDonald ThompsonPresident · (203) 756-8021
Enumeration DateAugust 14, 2008
Last NPPES UpdateFebruary 8, 2018
✔ NPI 1932355567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X · License 0360 (CT)
1302 S MAIN ST, Waterbury, CT 06706
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Other Names 1

Other NameStaywell South Main

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.

ANNA M. TIMELL M.D.
Family Medicine
1302 S MAIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 756-8021
SONILA ALICKOLLI R.D.H
Dental Hygienist
1302 S MAIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 597-9044
EZEQUIEL ALVAREZ-FIGUEROA RDH
Dental Hygienist
1302 S MAIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 756-8021
GINA CANALE RDH
Dental Hygienist
1302 S MAIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 756-8021
KRYSTAL CARDENAS
Dental Hygienist
1302 S MAIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 756-8021
MR. STEVEN MICHAEL BALTRUSH LCSW
Social Worker (Clinical)
1302 S MAIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 597-9044
MONIKA MISHRA
Internal Medicine
1302 S MAIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 756-8021
RATNAKAR MANDAVA DMD
Dentist (General Practice)
1302 S MAIN ST
WATERBURY, CT 06706
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 1932355567. It was assigned to this organization in the NPPES registry on August 14, 2008. The provider is also known as Staywell South Main.

Where is Staywell Health Care, Inc. located?

Staywell Health Care, Inc. is located at 1302 S Main St, Waterbury, CT 06706. 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 February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.