NPI 1295695039

Manchester Memorial Hospital, INC.

Organisation Psychiatric Hospital Unit Manchester, CT

Practice location

Address: 71 Haynes St, Manchester, CT 06040-4188
Phone: (860) 646-1222
Mailing address: 1290 Silas Deane Hwy STE 102, Wethersfield, CT 06109-4337

Authorised official

Name: Gerald Boisvert
Title: Sr Vice President
Phone: (860) 263-4190

Registered specialties (7)

Psychiatric Hospital Unit Primary

Hospital Units Taxonomy 273R00000X

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Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

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Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

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Addiction Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0802X

Child & Adolescent Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X

Geriatric Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0805X

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X

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Registry record

NPI: 1295695039
Entity type: Organization
NPI issued: 14 Nov 2025
Record last updated: 20 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.