WELLMORE, INC.-WATERBURY OP BEHAVIORAL HEALTH SERVICES
NPI 1962760561
Clinic/Center - Mental Health (Including Community Mental Health Center) in Waterbury, CT
NPI Status: Active since May 02, 2012
Contact Information
402 EAST MAIN ST
WATERBURY OUTPATIENT BEHAVIORAL HEALTH SERVICES
WATERBURY, CT
ZIP 06702
Phone: (203) 755-1143
Fax: (203) 753-3274
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 07D2111489
- CLIA Cert. Type: Other - BEHAVIORAL HLTH AGENCY
- CLIA Exp. Date: 04-06-2026
About WELLMORE, INC.-WATERBURY OP BEHAVIORAL HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for Wellmore, Inc.-waterbury Op Behavioral Health Services, a provider established in Waterbury, Connecticut operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1962760561 assigned on May 2012. The practitioner's primary taxonomy code is 261QM0801X with license number DPH 0436/0528 (CT). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Wellmore, Inc.-waterbury Op Behavioral Health Services. The authorized official of this NPI record is Mr. Gary M Steck Lmft (Chief Executive Officer)
- NPI
- 1962760561
- Provider Legal Name
- WELLMORE, INC
- Other Organization Name
- WELLMORE, INC.-WATERBURY OP BEHAVIORAL HEALTH SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 402 EAST MAIN ST WATERBURY OUTPATIENT BEHAVIORAL HEALTH SERVICES WATERBURY, CT 06702
- Location Phone
- (203) 755-1143
- Location Fax
- (203) 753-3274
- Mailing Address
- 141 E MAIN ST 4TH FLOOR ADMINISTRATION WATERBURY, CT 06702
- Mailing Phone
- (203) 574-9000
- Mailing Fax
- (203) 753-3274
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-02-2012
- Last Update Date
- 08-23-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- DPH 0436/0528
- License State
- CT
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GRP/FACILITY | OTHER (01) | CT | OPTUM BEHAVIORAL HEALTH/UBH |
| GRP/FACILITY | OTHER (01) | CT | UBH/OXFORD-FREEDOM HEALTH |
| 008040528 | MEDICAID (05) | CT | |
| GRP/FACILITY | OTHER (01) | CT | HEALTHYCT |
| D339210 | OTHER (01) | CT | BEACON HEALTH STRATEGIES |
| 7882859 | OTHER (01) | CT | AETNA HEALTH PLAN |
| GRP/FACILITY | OTHER (01) | CT | ANTHEM BCBS OF CT |
| LICENSE NO. 0436 | OTHER (01) | CT | DPH-FACILITY FOR THE CARE OR TREATMENT OF SUBSTANCE ABUSE OR DEPENDENT PERSONS |
| D10077031 | MEDICARE PIN (08) | CT | |
| 0528 | OTHER (01) | CT | DPH-PSYCHIATRIC OUTPATIENT CLINIC FOR ADULTS |
| 2266871 | OTHER (01) | CT | CIGNA BEHAVIORAL HEALTH |
| GRP/FACILITY | OTHER (01) | CT | MHN/MHN TRICARE NORTH |
| GRP/FACILITY | OTHER (01) | CT | UNITED BEHAVIORAL HEALTH |
| GRP/FACILITY | OTHER (01) | CT | UBH-UNITED HEALTHCARE |
| GRP/FACILITY | OTHER (01) | CT | UBH-CONNECTICARE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D2111489
- Facility Type
- Other - BEHAVIORAL HLTH AGENCY
- Certificate Effective Date
- April 07, 2024
- Certificate Expiration Date
- April 06, 2026
- Laboratory Director
- CHRISTOPHER YOUNG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wellmore, Inc.-waterbury Op Behavioral Health Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962760561, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962760561, enumerated as an "organization" on May 02, 2012.
The provider is located at 402 EAST MAIN ST WATERBURY OUTPATIENT BEHAVIORAL HEALTH SERVICES WATERBURY, CT 06702 and the phone number is (203) 755-1143.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Medicare, Medicaid, Oxford Health Plans, Aetna,. Please consult your insurance carrier or call the provider to verify.
