Provider Demographics
NPI:1215120431
Name:CHILDCARE ASSOCIATES
Entity type:Organization
Organization Name:CHILDCARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJADEVI
Authorized Official - Middle Name:ARIYAMALAR
Authorized Official - Last Name:SATCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-791-9599
Mailing Address - Street 1:83 SAND PIT RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5927
Mailing Address - Country:US
Mailing Address - Phone:203-791-9599
Mailing Address - Fax:203-791-8100
Practice Address - Street 1:83 SAND PIT ROAD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5927
Practice Address - Country:US
Practice Address - Phone:203-791-9599
Practice Address - Fax:203-791-8100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004160975Medicaid