Spectrum Family Therapy PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SPECTRUM FAMILY THERAPY PLLC

Practice address

75 Granite St Ste 1B
New London, CT 06320-5771

Phone

(860) 857-4114

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

Mary E Myers Pasquino, LCSWNPI 1497152839

Title

Clinician

Phone

(860) 857-4114

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mary Myers Pasquino, LCSW

  • Clinical Social Worker
  • Bridgewater, NJ
  • NPI 1497152839
  NPD Authorized official

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1104699677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GRANITE ST STE 1B",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205771",
            "telephone_number": "860-857-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GRANITE ST STE 1B",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205771",
            "telephone_number": "860-857-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM FAMILY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "MYERS PASQUINO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "860-857-4114",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josiephina Castro Souza, D.O.
• Faruk Soydan, MD
• Matthew Patrick Spang, MSW
• Rhonda Spaziani
• Eliza C Spears, FNP-BC
• Amanda W Speicher, M.D.
• Andrea Spelman, DPT
• Robert M Spitz, M.D.
• Janet Dee Spoltore, PH.D.
• Lori J Standish, M.A., MFT

• Community/Behavioral Health Agency in New London, CT
• Providers in New London, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.