Individual provider Active NPI

Alisa Layla D'Andrea, MFTA

  • Marriage & Family Therapist
  • Hamden, CT
National Provider Identifier
1053033035
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
003309 Issued in CT
Practice address
1884 Whitney Ave
Hamden, CT 06517-1205
Phone
(203) 407-1310
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 003309 CT Primary

Addresses

Primary practice location

1884 Whitney Ave
Hamden, CT 06517-1205

Mailing address

154 Mather St
Hamden, CT 06517-2411
Phone (203) 430-2178

Other practice location 1

154 Mather St
Hamden, CT 06517-2411
Phone (203) 430-2178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greater New Haven Counseling and Family Therapy Center, LLP Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1053033035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 MATHER ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172411",
            "telephone_number": "203-430-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065171205",
            "telephone_number": "203-407-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "154 Mather St",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065172411",
            "country_code": "US",
            "telephone_number": "203-430-2178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'ANDREA",
        "first_name": "ALISA",
        "middle_name": "LAYLA",
        "credential": "MFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "003309",
            "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 Feb 16, 2024; 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.