NPIMap

Organization Active NPI

Ujima, LLC

  • Community/Behavioral Health Agency
  • Plymouth, CT
National Provider Identifier
1093323537
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UJIMA, LLC
Practice address
768 Main St
Plymouth, CT 06782-2246
Phone
(860) 792-1124
NPI assigned
Jul 21, 2020
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Letticia Brown-Gambino, MS, NCC, LPCNPI 1427245943
Title
Principal
Phone
(860) 792-1124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

768 Main St
Plymouth, CT 06782-2246

Mailing address

768 Main St
Plymouth, CT 06782-2246
Phone (860) 792-1124

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1093323537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 MAIN ST",
            "city": "PLYMOUTH",
            "state": "CT",
            "postal_code": "067822246",
            "telephone_number": "860-792-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 MAIN ST",
            "city": "PLYMOUTH",
            "state": "CT",
            "postal_code": "067822246",
            "telephone_number": "860-792-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UJIMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "BROWN-GAMBINO",
        "authorized_official_first_name": "LETTICIA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "860-792-1124",
        "authorized_official_credential": "MS, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.