Active NPI
Perfect Timing Therapeutic Services,LLC
- Social Worker
- Hamden, CT
National Provider Identifier
1043072523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- PERFECT TIMING THERAPEUTIC SERVICES,LLC
- Practice address
- 2335 Dixwell Ave Ste 2
Hamden, CT 06514-2100 - Phone
- (929) 256-4843
- NPI assigned
- Jan 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrecia Spaulding, LCSW
- Title
- Social Worker
- Phone
- (929) 256-4843
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2335 Dixwell Ave Ste 2
Hamden, CT 06514-2100
Mailing address
2335 Dixwell Ave Ste 2
Hamden, CT 06514-2100
Phone (929) 256-4843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250411000564 | NY | Part B Supplier - Clinic/Group Practice | 6002330271 | Practice locations: Larchmont, NY |
National Provider Directory
National Provider DirectoryLocations
2444 Boston Post Rd
#1057
Larchmont, NY 10538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706486400000",
"number": "1043072523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2335 DIXWELL AVE STE 2",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065142100",
"telephone_number": "929-256-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 DIXWELL AVE STE 2",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065142100",
"telephone_number": "929-256-4843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFECT TIMING THERAPEUTIC SERVICES,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-29",
"last_updated": "2024-01-29",
"certification_date": "2024-01-26",
"status": "A",
"authorized_official_last_name": "SPAULDING",
"authorized_official_first_name": "ANDRECIA",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "929-256-4843",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.