Organization Active NPI

The Behavior Therapy Group, LLC

  • Psychologist
  • Greenwich, CT
National Provider Identifier
1073156873
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
THE BEHAVIOR THERAPY GROUP, LLC
Practice address
55 Old Post Rd No 2 Ste 2C
Greenwich, CT 06830-6200
Phone
(203) 339-5198
NPI assigned
Oct 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Authorized official

Name
Kristie Calvillo, LCSWNPI 1003459801
Title
Co-Founder
Phone
(203) 339-5198

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

55 Old Post Rd No 2 Ste 2C
Greenwich, CT 06830-6200

Mailing address

55 Old Post Rd No 2 Ste 2C
Greenwich, CT 06830-6200
Phone (203) 339-5198

National Provider Directory

National Provider Directory

Locations

55 Old Post Rd No 2
Ste 2C
Greenwich, CT 06830
Phone (203) 339-5198

Practitioners & affiliated clinicians

Practitioners 2

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": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1073156873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OLD POST RD NO 2 STE 2C",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306200",
            "telephone_number": "203-339-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD POST RD NO 2 STE 2C",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306200",
            "telephone_number": "203-339-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEHAVIOR THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "CALVILLO",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "203-339-5198",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.