CATHOLIC CHARITIES, INC. - ARCHDIOCESE OF HARTFORD — NPI 1497849624 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in ANSONIA, CT)

CMS-1500 Box 24J / 33a • NPI

1497849624

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM0801X (CMS B4[14])

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

205 WAKELEE AVE., ANSONIA, CT, 06401

Official NPPES Practice Location

Practice Phone & Referral Fax

(860) 493-1841

Fax: (869) 548-1930

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1497849624 (CATHOLIC CHARITIES, INC. - ARCHDIOCESE OF HARTFORD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1497849624` (NPI-2 Organization / Facility)
Provider / Legal Name	CATHOLIC CHARITIES, INC. - ARCHDIOCESE OF HARTFORD
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM0801X` (Clinic/Center, Mental Health (Including Community Mental Health Center))
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	205 WAKELEE AVE., ANSONIA, CT, 06401
Practice Telephone / Fax	Tel: (860) 493-1841 \| Fax: (869) 548-1930
Administrative Mailing Address	839 ASYLUM AVE.,, HARTFORD, CT, 06105
Enumeration & Last Sync	Enumerated: 2006-10-03 \| CMS Record Updated: 2018-02-01
Authorized Official	MAREK KUKULKA (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

205 WAKELEE AVE., ANSONIA, CT, 06401

🗺️ Open in Google Maps 🏥 More Providers in ANSONIA

🔒 Are you CATHOLIC CHARITIES, INC. - ARCHDIOCESE OF HARTFORD? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (261QM0801X)

What Does Taxonomy Code 261QM0801X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0801X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Community Mental Health Center)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CATHOLIC CHARITIES, INC. - ARCHDIOCESE OF HARTFORD)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QM0801X` — Clinic/Center, Mental Health (Including Community Mental Health Center) Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

CATHOLIC CHARITIES, INC. - ARCHDIOCESE OF HARTFORD (NPI #1497849624)