Joelle Brohen Licsw PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

JOELLE BROHEN LICSW PLLC

Practice address

66 County Home Rd
Thompson, CT 06277-2840

Phone

(860) 481-2887

NPI assigned

Jun 20, 2022

Last updated

Jun 20, 2022By 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

Cheyenne Moseley

Title

Assistant Secretary

Phone

(800) 773-0888

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, and the practitioner matching its NPPES authorized official.

• Joelle Christine Brohen

  • Social Worker
  • Southbridge, MA
  • NPI 1538698246
  NPD

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1154052298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 COUNTY HOME RD",
            "city": "THOMPSON",
            "state": "CT",
            "postal_code": "062772840",
            "telephone_number": "860-481-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 COUNTY HOME RD",
            "city": "THOMPSON",
            "state": "CT",
            "postal_code": "062772840",
            "telephone_number": "860-481-2887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 Pomfret St Ste 124B",
            "address_purpose": "LOCATION",
            "city": "Putnam",
            "state": "CT",
            "postal_code": "062601888",
            "country_code": "US",
            "telephone_number": "860-792-6233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOELLE BROHEN LICSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "CHEYENNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "800-773-0888"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Thompson, CT
• Providers in Thompson, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.