Alex Petri, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001315 Issued in CT

Practice address

94 N Branford Rd Ste 2
Branford, CT 06405-2811

Phone

(203) 483-6860

Fax

(203) 483-6861

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1104027523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 N BRANFORD RD STE 2",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052811",
            "telephone_number": "203-483-6860",
            "fax_number": "203-483-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 N BRANFORD RD STE 2",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052811",
            "telephone_number": "203-483-6860",
            "fax_number": "203-483-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRI",
        "first_name": "ALEX",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Anthony Perrotti, MD
• Enid Helene Peterson, LCSW
• Michaela A Peterson, DC, FACO
• Logan M Petit, MD
• Roseanna Petonito
• Tierra Phillips
• Physical Fitness, LLC
• Physical Therapy and Wellness Specialists, LLC
• Physical Therapy Services of Guilford LLC
• Physicians Alliance of Connecticut, LLC

• Marriage & Family Therapist in Branford, CT
• Providers in Branford, 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 Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.