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Staywell Health Care, Inc.

Family Medicine Physician in Waterbury, CT · enumerated 2006 · authorized official Donald Thompson, President & Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154342335

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Registry record

Entity type Organization (Type 2)
Legal business name Staywell Health Care, Inc.
Practice address 80 Phoenix Ave, Waterbury, CT, 06702
Fax (203) 596-9038
Enumeration date Jul 22, 2006
Last updated in NPPES Jan 9, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License 0360 (CT) Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Secondary
261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities · License 0736 (CT) Secondary

Authorized official

Name Donald Thompson
Title President & Ceo

Other identifiers

Identifier Type State Issuer
004235984 Medicaid CT -
004235968 Medicaid CT -
004235976 Medicaid CT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-01-09. Verify at npiregistry.cms.hhs.gov.
Where is Staywell Health Care, Inc. located?
The practice location on file with NPPES is in Waterbury, CT.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-09.