Family Services of Greater Waterbury

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0571 Issued in CT

Legal business name

FAMILY SERVICES OF GREATER WATERBURY

Practice address

14 Buckingham Street
Waterbury, CT 06710-1909

Phone

(203) 759-0500

NPI assigned

Apr 30, 2014

Organization subpart

No

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

Authorized official

Name

Sandra J Porteus, LCSWNPI 1164960225

Title

Executive Director

Phone

(203) 759-0500

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.

• Sandra Porteus, LCSW

  • Clinical Social Worker
  • Wolcott, CT
  • NPI 1164960225
  NPD (past) Authorized official

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1093125064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MURRAY ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101920",
            "telephone_number": "203-756-8317",
            "fax_number": "203-756-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BUCKINGHAM STREET",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101909",
            "telephone_number": "203-759-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES OF GREATER WATERBURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "PORTEUS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-759-0500",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "0571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarina Falero, AUD
• Robyn Falkowski
• Family Dental Group,P.C
• Family Intervention Center, Inc
• Family Service of Greater Waterbury
• Family Services of Greater Waterbury
• Aubry Fappiano
• Rawd Farah Zarif, MS MFT
• Arvin Farhang, MD
• Kassem Farhat, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.