ML Therapies, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

003146 Issued in CT

Legal business name

ML THERAPIES, LLC

Practice address

14 Cedar St
New Britain, CT 06052-1302

Phone

(860) 612-0432

Fax

(860) 612-0087

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Lou Graham, APRNNPI 1811995103

Title

Member LLC

Phone

(860) 612-0432

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Lou Graham, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New Britain, CT
  • NPI 1811995103
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114048568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CEDAR ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521302",
            "telephone_number": "860-612-0432",
            "fax_number": "860-612-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CEDAR ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521302",
            "telephone_number": "860-612-0432",
            "fax_number": "860-612-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ML THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "MEMBER LLC",
        "authorized_official_telephone_number": "860-612-0432",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "003146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Miranda Miranda, LPC
• Maria Christina Antonia Mirth, M.D.
• Richard Alexander Misiaszek, M.D.
• Samantha Lynn Mitchell, PA-C
• Diane Mixon, CADC
• Mlptherapy LLC
• Monica Mobley, LPC
• Dana Mocarsky, CRNA
• Izabela Moczydlowski, LPCA
• Ritu Mohan, DDS

• Psychiatric/Mental Health Nurse Practitioner in New Britain, CT
• Providers in New Britain, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.