Regional Young Men'S Christian Association of Western Connecticut, Inc

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

REGIONAL YOUNG MEN'S CHRISTIAN ASSOCIATION OF WESTERN CONNECTICUT, INC

Practice address

241 Federal Road
Unit B21
Brookfield, CT 06804

Phone

(203) 740-3432

Fax

(203) 775-8350

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Marie Miszewski

Title

Chief Executive Officer

Phone

(203) 740-3432

Specialties & licenses 1

Addresses

Other names 1

• Regional YMCA of Western Connecticut, Inc. Doing business as

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1154878619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 FEDERAL ROAD",
            "address_2": "UNIT B21",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "06804",
            "telephone_number": "203-740-3432",
            "fax_number": "203-775-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 FEDERAL ROAD",
            "address_2": "UNIT B21",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "06804",
            "telephone_number": "203-740-3432",
            "fax_number": "203-775-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL YOUNG MEN'S CHRISTIAN ASSOCIATION OF WESTERN CONNECTICUT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "MISZEWSKI",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "203-740-3432"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional YMCA of Western Connecticut, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Educator in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.