Sandra a Coakley Psychotherapist LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003350 Issued in CT

Legal business name

SANDRA A COAKLEY PSYCHOTHERAPIST LLC

Practice address

128 Carriage Hill Dr
Newington, CT 06111-2006

Phone

(203) 886-7836

NPI assigned

Aug 29, 2018

Organization subpart

No

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

Authorized official

Name

Sandra A Coakley, LPCNPI 1265930572

Title

Owner/LPC

Phone

(203) 886-7836

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 Ann Coakley, LPC, NCC

  • Professional Counselor
  • Newington, CT
  • NPI 1265930572
  NPD Authorized official

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1104308923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CARRIAGE HILL DR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112006",
            "telephone_number": "203-886-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CARRIAGE HILL DR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112006",
            "telephone_number": "203-886-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA A COAKLEY PSYCHOTHERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "COAKLEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "203-886-7836",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynne Saltzgiver, PHARMD
• Janice Salvatore, PT
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• Sam'S East, Inc.
• John Francis Sampson III
• Jennifer Huot Sanford, DPT
• Sanitas of Connecticut LLC
• Cristina Louro Santos-Tomas, D.M.D.
• Jennifer Ann Sanzaro, ATC, CSCS
• Vincent Michael Sapone, LCSW

• Professional Counselor in Newington, CT
• Providers in Newington, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.