Kaitlin Myska LMFT LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

KAITLIN MYSKA LMFT LLC

Practice address

99 Stafford Rd Ste B-1
Ellington, CT 06029-2834

Phone

(860) 375-4060

NPI assigned

Feb 16, 2021

Last updated

Feb 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaitlin Marie Myska, LMFTNPI 1780272930

Title

Owner and Licensed Clinician

Phone

(860) 375-4060

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaitlin Marie Myska, LMFT

  • Marriage & Family Therapist
  • Ellington, CT
  • NPI 1780272930
  NPD Authorized official

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1083207567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MEADOW RD",
            "city": "BOLTON",
            "state": "CT",
            "postal_code": "060437619",
            "telephone_number": "203-312-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 STAFFORD RD STE B-1",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060292834",
            "telephone_number": "860-375-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAITLIN MYSKA LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "MYSKA",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER AND LICENSED CLINICIAN",
        "authorized_official_telephone_number": "860-375-4060",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Ellington, CT
• Providers in Ellington, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.