Organization Active NPI

Perfect Timing Therapeutic Services,LLC

  • Social Worker
  • Hamden, CT
National Provider Identifier
1043072523
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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

Updated by the provider on Jan 29, 2024

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)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20250411000564 NY Part B Supplier - Clinic/Group Practice 6002330271 Practice locations: Larchmont, NY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.