Active NPI
Samuel Schaperow
- Marriage & Family Therapist
- Waterford, CT
National Provider Identifier
1053597732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001110
- Practice address
- 567 Vauxhall Street Ext
Suite 207
Waterford, CT 06385-4330 - Phone
- (860) 447-2047
- NPI assigned
- Jan 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001110 | CT | Primary |
Addresses
Primary practice location
567 Vauxhall Street Ext
Suite 207
Waterford, CT 06385-4330
Mailing address
567 Vauxhall Street Ext
Suite 207
Waterford, CT 06385-4330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410001110CT01 | Other | CT | ANTHEM BLUE CROSS |
| 349434 | Other | MHN - HEALTHNET |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200182400000",
"number": "1053597732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "567 VAUXHALL STREET EXT",
"address_2": "SUITE 207",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063854330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 VAUXHALL STREET EXT",
"address_2": "SUITE 207",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063854330",
"telephone_number": "860-447-2047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAPEROW",
"first_name": "SAMUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-13",
"last_updated": "2008-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "001110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "410001110CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN - HEALTHNET",
"identifier": "349434",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.