WATERFORD COUNTRY SCHOOL, INC.
NPI 1710185731
Psychiatric Residential Treatment Facility in Quaker Hill, CT

NPI Status: Active since July 11, 2007

Contact Information

78 HUNTS BROOK RD
QUAKER HILL, CT
ZIP 06375
Phone: (860) 442-9454
Fax: (860) 440-4340

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About WATERFORD COUNTRY SCHOOL, INC.

This page provides the complete NPI Profile along with additional information for Waterford Country School, Inc., a provider established in Quaker Hill, Connecticut operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1710185731 assigned on July 2007. The practitioner's primary taxonomy code is 323P00000X with license number CCF/RT#12 (CT). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. William Martin (Executive Director)

NPI
1710185731
Provider Name
WATERFORD COUNTRY SCHOOL, INC.
Entity Type
Organization
Location Address
78 HUNTS BROOK RD QUAKER HILL, CT 06375
Location Phone
(860) 442-9454
Location Fax
(860) 440-4340
Mailing Address
78 HUNTS BROOK RD QUAKER HILL, CT 06375
Mailing Phone
(860) 442-9454
Mailing Fax
(860) 440-4340
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2007
Last Update Date
02-28-2017
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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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
License No.
CCF/RT#12
License State
CT
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

OPCC-50 (CT)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WILLIAM MARTIN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(860) 442-9454

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710185731
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720281076
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 2 + 8 + 1 + 0 + 7 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1710185731 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154772770MRS. KRISTEN HESPELER LCSW
Individual
Social Worker (Clinical)78 HUNTS BROOK RD
QUAKER HILL, CT 06375
(860) 442-9454
1093482531 MARTA GODLEWSKA RN
Individual
Registered Nurse (School)78 HUNTS BROOK RD
QUAKER HILL, CT 06375
(860) 442-9454

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710185731, enumerated in the NPI registry as an "organization" on July 11, 2007

The provider is located at 78 Hunts Brook Rd Quaker Hill, Ct 06375 and the phone number is (860) 442-9454

This medical organization specializes in Psychiatric Residential Treatment Facility with taxonomy code 323P00000X

This NPI record was last updated on July 11, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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