Organization Active NPI

Becoming You Therapy

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1093349862
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BECOMING YOU THERAPY
Practice address
14 Trumbull St Ste 103
New Haven, CT 06511-6312
Phone
(203) 257-7222
NPI assigned
Mar 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Jessica Roberts, LCSW
Title
Social Worker
Phone
(203) 257-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

14 Trumbull St Ste 103
New Haven, CT 06511-6312

Mailing address

11321 Town Walk Dr
Hamden, CT 06518-3724
Phone (203) 257-7222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessicav@becomingyoutherapy.com

National Provider Directory

National Provider Directory

Locations

14 Trumbull St
Ste 103
New Haven, CT 06511
Phone (203) 257-7222

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1093349862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 TOWN WALK DR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183724",
            "telephone_number": "203-257-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 TRUMBULL ST STE 103",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116312",
            "telephone_number": "203-257-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECOMING YOU THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "203-257-7222",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessicav@becomingyoutherapy.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "14 Trumbull St Ste 103",
            "city": "New Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065116312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.