Tyler Massie LMFT

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

1810 Issued in CT

Legal business name

TYLER MASSIE LMFT

Practice address

80 Plains Road
Essex, CT 06426-1085

Phone

(860) 532-0095

NPI assigned

Mar 8, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tyler Massie, LMFT

Title

Owner

Phone

(860) 532-0095

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1003356130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 FAIRY DELL RD",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132403",
            "telephone_number": "203-506-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PLAINS ROAD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261085",
            "telephone_number": "860-532-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER MASSIE LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "MASSIE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-532-0095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CT",
            "license": "1810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Essex, CT
• Providers in Essex, CT by specialty
• Point of Service in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.