Active NPI
New Haven Therapy, LLC.
- Community/Behavioral Health Agency
- New Haven, CT
National Provider Identifier
1073159372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114261120 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.