Psychotherapy Healing Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PSYCHOTHERAPY HEALING SERVICES, LLC

Practice address

3 Barnard LN
Suite 310
Bloomfield, CT 06002-2452

Phone

(860) 586-8700

Fax

(860) 236-1909

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Celeste E Mattingly

Title

LCSW

Phone

(718) 841-7392

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1083095988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BARNARD LN",
            "address_2": "SUITE 310",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022452",
            "telephone_number": "860-586-8700",
            "fax_number": "860-236-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BARNARD LN",
            "address_2": "SUITE 310",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022452",
            "telephone_number": "860-586-8700",
            "fax_number": "860-236-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY HEALING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "718-841-7392"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.