The Wellspring Foundation, Inc.

LBN: The Wellspring Foundation, Inc.
The Wellspring Foundation, Inc. is an health care organization with primary practice located at 21 Arch Bridge Rd. , Bethlehem CT 06751-0370. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Psychiatric Residential Treatment Facility is the primary health care specialty. The Wellspring Foundation, Inc. can be contacted via phone (203) 266-8000, or through Newman, Harvey via phone (203) 266-8110.

Contact Information

Primary practice address
21 Arch Bridge Rd. Bethlehem CT 06751-0370
Phone: (203) 266-8000
Fax: (203) 266-8030
Website:
Map and Directions
Authorized official contact:
Name: Newman, Harvey Master of Education (MED)
Phone: (203) 266-8110

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X CCF RT 26 Connecticut

Profile Details

NPI number 1154475184
LBN Legal business name The Wellspring Foundation, Inc.
DBA Doing business as
Authorized official Newman, Harvey Master of Education (MED)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Nov 13th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154475184 NPPES
Connecticut MEDICAID 004040929

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