Organization Active NPI

New Haven Therapy, LLC.

  • Community/Behavioral Health Agency
  • New Haven, CT
National Provider Identifier
1073159372
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW HAVEN THERAPY, LLC.
Practice address
625 Central Ave Ste 1
New Haven, CT 06515-2168
Phone
(203) 807-4822
NPI assigned
Nov 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Dr. Caitlin Sorenson, PSYD.
Title
Psychologist
Phone
(267) 334-3598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

625 Central Ave Ste 1
New Haven, CT 06515-2168

Mailing address

110 Wheeler Path
Guilford, CT 06437-1206
Phone (267) 334-3598

Other practice location 1

133 State St
Guilford, CT 06437-2471
Phone (203) 807-4822

Other identifiers 1

IdentifierTypeStateIssuer
114261120MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1073159372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WHEELER PATH",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371206",
            "telephone_number": "267-334-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CENTRAL AVE STE 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152168",
            "telephone_number": "203-807-4822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 State St",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "064372471",
            "country_code": "US",
            "telephone_number": "203-807-4822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW HAVEN THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "267-334-3598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114261120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.