Family Intervention Center, Inc
NPI 1598764474ActiveOrganization· Clinic/Center· Waterbury, CT
Clinic/Center in Waterbury, Connecticut, registered in NPPES in July 2005. The authorized official on file is Joseph E. Futschik, L.C.S.W., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1598764474 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 21, 2005 |
| Last updated in NPPES | Oct 2, 2023 |
| Certified by provider | Oct 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 0390 | CT |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 0390 | CT |
| Clinic/Center, Adult Mental Health | 261QM0850X | 0471 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
Other Clinic/Center providers in Waterbury
- 1497054316