Organization Active NPI

Fundacion Sos Mujer Extraordinaria Corp

  • Community/Behavioral Health Agency
  • Ellington, CT
National Provider Identifier
1073310546
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FUNDACION SOS MUJER EXTRAORDINARIA CORP
Practice address
4 Katherine Way
Ellington, CT 06029-5842
Phone
(860) 604-0319
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Biannyi Kasmar
Title
Director
Phone
(860) 604-0319

Specialties & licenses 1

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

Addresses

Primary practice location

4 Katherine Way
Ellington, CT 06029-5842

Mailing address

4 Katherine Way
Ellington, CT 06029-5842
Phone (860) 604-0319

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1073310546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 KATHERINE WAY",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060295842",
            "telephone_number": "860-604-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 KATHERINE WAY",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060295842",
            "telephone_number": "860-604-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDACION SOS MUJER EXTRAORDINARIA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "KASMAR",
        "authorized_official_first_name": "BIANNYI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-604-0319"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.