NPIMap

Organization Active NPI

The Child & Family Institute of Fairfield County

  • Mental Health Counselor
  • Brookfield, CT
National Provider Identifier
1043220619
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE CHILD & FAMILY INSTITUTE OF FAIRFIELD COUNTY
Practice address
33 Junction Rd
Brookfield, CT 06804-3457
Phone
(203) 740-7296
Fax
(203) 740-7696
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Pamela Samaha, LCSWNPI 1801997598
Title
Director
Phone
(203) 740-7296

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X CT Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X

Addresses

Primary practice location

33 Junction Rd
Brookfield, CT 06804-3457

Mailing address

33 Junction Rd
Brookfield, CT 06804-3457
Phone (203) 740-7296

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1043220619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 JUNCTION RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043457",
            "telephone_number": "203-740-7296",
            "fax_number": "203-740-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 JUNCTION RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043457",
            "telephone_number": "203-740-7296",
            "fax_number": "203-740-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILD & FAMILY INSTITUTE OF FAIRFIELD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "SAMAHA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-740-7296",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.