Organization Active NPI

Lifted, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Middletown, CT
National Provider Identifier
1043108517
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIFTED, LLC
Practice address
49 Randolph Rd
Middletown, CT 06457-5606
Phone
(860) 334-6135
NPI assigned
Jun 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Sean Nicoll Macauley, LMFTNPI 1144775958
Title
Owner
Phone
(860) 334-6135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

49 Randolph Rd
Middletown, CT 06457-5606

Mailing address

49 Randolph Rd
Middletown, CT 06457-5606
Phone (860) 334-6135

National Provider Directory

National Provider Directory

Locations

49 Randolph Rd
Middletown, CT 06457
Phone (860) 334-6135

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1043108517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 RANDOLPH RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575606",
            "telephone_number": "860-334-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 RANDOLPH RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575606",
            "telephone_number": "860-334-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFTED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "MACAULEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "NICOLL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-334-6135",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.