Elm City Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELM CITY COUNSELING

Practice address

157 Church St # 1918
New Haven, CT 06510-2100

Phone

(203) 675-3856

NPI assigned

Sep 20, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Robert Riera, LCSW

Title

Owner

Phone

(203) 675-3856

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1053895508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 KNEELAND RD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065125008",
            "telephone_number": "203-675-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CHURCH ST # 1918",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102100",
            "telephone_number": "203-675-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELM CITY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "RIERA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-675-3856",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750768289",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherrill G Ellis, CCC-SLP
• Sylvadra Ellis, MSW
• Matthew S Ellman, MD
• Patrick Ellsworth
• Elm City Chiropractic Center
• Elm City Pharmacia Corp
• Nawal Hussein Elmahy, PHARMD
• Elmer L. Valin, MD, LLC
• Allieta Elmore, LCAS-A
• Teresa Marie Elmore

• Community/Behavioral Health Agency in New Haven, CT
• Providers in New Haven, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.