Jennifer Ann Dealy, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2052 Issued in CT

Practice address

18 Oneco St Ste 2
Norwich, CT 06360-3440

Phone

(704) 608-7941

NPI assigned

Dec 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1154893725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CENTER ST",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063572657",
            "telephone_number": "508-212-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ONECO ST STE 2",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603440",
            "telephone_number": "704-608-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEALY",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynne Davis
• Maureen M Davis, C.N.M.
• Alexander Calvin Dayton, MD
• Bernardo De Andrada Pereira, MD
• Jose Angelo Araullo De Dios, M.D.
• Ayla Marie Dean
• Melissa Ann Deangelis, LCSW
• Lisa Decarlo
• Katharine Tumampos Decena, MD
• Jessica Deflumer, LPC

• Marriage & Family Therapist in Norwich, CT
• Providers in Norwich, CT by specialty
• Marriage & Family Therapist in Connecticut

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