NPIMap

Organization Active NPI

The Motivation Center of Stratford, Inc.

  • Psychologist
  • Shelton, CT
National Provider Identifier
1124101696
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
001255 Issued in CT
Legal business name
THE MOTIVATION CENTER OF STRATFORD, INC.
Practice address
110 Soundview Ave
Shelton, CT 06484
Phone
(203) 929-2093
Fax
(203) 929-2093
NPI assigned
Oct 20, 2006
Organization subpart
Yes
Parent organization
THE MOTIVATION CENTER OF STRATFORD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Robert MargoliesNPI 1710061734
Title
Owner
Phone
(203) 929-2093

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 001255 CT Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X CT001255 CT

Addresses

Primary practice location

110 Soundview Ave
Shelton, CT 06484

Mailing address

110 Soundview Ave
Shelton, CT 06484
Phone (203) 929-2093

Other identifiers 1

IdentifierTypeStateIssuer
5004086840MedicaidCT

National Provider Directory

National Provider Directory
Part of
The Motivation Center of Stratford Inc

Practitioners & affiliated clinicians

Practitioners 5

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1124101696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUNDVIEW AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "06484",
            "telephone_number": "203-929-2093",
            "fax_number": "203-929-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUNDVIEW AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "06484",
            "telephone_number": "203-929-2093",
            "fax_number": "203-929-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOTIVATION CENTER OF STRATFORD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MOTIVATION CENTER OF STRATFORD INC",
        "enumeration_date": "2006-10-20",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MARGOLIES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-929-2093"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CT",
            "license": "001255",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CT",
            "license": "CT001255",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5004086840",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.