Plymouth BD of Ed

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PLYMOUTH BD OF ED

Practice address

77 Main St
Terryville, CT 06786-5104

Phone

(860) 314-2768

Fax

(860) 314-2766

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gerard Perusse Perusse

Title

Business Manager

Phone

(860) 314-2768

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104946896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MAIN ST",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "067865104",
            "telephone_number": "860-314-2768",
            "fax_number": "860-314-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MAIN ST",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "067865104",
            "telephone_number": "860-314-2768",
            "fax_number": "860-314-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH BD OF ED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERUSSE",
        "authorized_official_first_name": "GERARD PERUSSE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "860-314-2768",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcie Palmer, RPH
• Robert Harold Pavalock, DMD
• Desirae Pettit
• Barbara C Plourde, RPH
• Tasha Plourde, COTA/L
• Plymouth Visiting Nurse Association
• Shelby Pocius
• Precision Rehab, LLC
• Ralph J Bozza
• Natisha Rivera, LPC

• Local Education Agency (LEA) in Terryville, CT
• Providers in Terryville, CT by specialty
• Local Education Agency (LEA) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.