NPIMap

Organization Active NPI

Step Up Care PC LLC

  • Counselor
  • Danielson, CT
National Provider Identifier
1154884740
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
STEP UP CARE PC LLC
Practice address
111 Westcott Rd
Danielson, CT 06239-2929
Phone
(718) 298-4375
NPI assigned
Apr 10, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Naftali Weinberger
Title
Ao
Phone
(718) 298-4375

Practitioners 419

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190607000156 CT Part B Supplier - Clinic/Group Practice 5496088346 Receives reassigned benefits from 397 practitioners

National Provider Directory

National Provider Directory

Locations

46 Stony Hill Rd
Bethel, CT 06801
Phone (203) 207-4100

38 Talmadge Ave
East Haven, CT 06512
Phone (203) 469-2316

96 Prospect Hill Rd
East Windsor, CT 06088
Phone (860) 253-2617

6448 Main St
#Q
Trumbull, CT 06611

2415 Reservoir Ave
Trumbull, CT 06611
Phone (203) 397-6800

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X

Addresses

NPPES NPI Registry

Primary practice location

111 Westcott Rd
Danielson, CT 06239-2929

Mailing address

27 Randolph Rd
Howell, NJ 07731-8611

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2021.

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1154884740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 RANDOLPH RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077318611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WESTCOTT RD",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392929",
            "telephone_number": "718-298-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP CARE PC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "WEINBERGER",
        "authorized_official_first_name": "NAFTALI",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "718-298-4375"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danielson, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.