NPIMap

Organization Active NPI

Spring Street Psychiatric Group

  • Professional Counselor
  • Middletown, CT
National Provider Identifier
1104065895
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
24301 Issued in CT
Legal business name
SPRING STREET PSYCHIATRIC GROUP
Practice address
7 Spring St
Middletown, CT 06457-2238
Phone
(860) 344-9558
Fax
(860) 347-6265
NPI assigned
Feb 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Dr. Janet Shapiro-Weiss, M.D.NPI 1417166976
Title
Medical Director
Phone
(860) 344-9558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 24301 CT Primary

Addresses

Primary practice location

7 Spring St
Middletown, CT 06457-2238

Mailing address

PO Box 1018
Middletown, CT 06457-1018
Phone (860) 344-9558

Other identifiers 1

IdentifierTypeStateIssuer
010024301CT01OtherBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

7 Spring St
Middletown, CT 06457
Phone (860) 344-9558

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1104065895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1018",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571018",
            "telephone_number": "860-344-9558",
            "fax_number": "860-347-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SPRING ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572238",
            "telephone_number": "860-344-9558",
            "fax_number": "860-347-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING STREET PSYCHIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO-WEISS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "860-344-9558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "24301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "010024301CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.