CONNECTICUT PROTON THERAPY CENTER, LLC – NPI #1790598787
Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CONNECTICUT PROTON THERAPY CENTER, LLC is an AHC clinic located in WALLINGFORD, CT. NPPES has assigned the NPI number 1790598787 to CONNECTICUT PROTON THERAPY CENTER, LLC on January 31, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.
The NPI profile was last updated on Nov 19, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONNECTICUT PROTON THERAPY CENTER, LLC below.
NPI Profile for
CONNECTICUT PROTON THERAPY CENTER, LLC
(more than a year ago)
WALLINGFORD, CT 06492 Phone: (630) 649-4060 Fax: (312) 896-9537
KILDEER, IL 60047-8626 Phone: (630) 649-4060 Fax: (312) 896-9537
VICE PRESIDENT
Phone: (630) 649-4060
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261Q00000X - Clinic/Center (Primary) |
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| 261QX0203X - Clinic/Center / Oncology, Radiation |
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| 261QX0200X - Clinic/Center / Oncology |
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| 2085R0001X - Radiology / Radiation Oncology |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.