Active NPI
Michelle Ann Mecca, LMFT
- Marriage & Family Therapist
- Weston, CT
National Provider Identifier
1164025847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2508
- Practice address
- 205 Davis Hill Rd
Weston, CT 06883-2035 - Phone
- (203) 520-5980
- NPI assigned
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2508 | CT | Primary |
Addresses
Primary practice location
205 Davis Hill Rd
Weston, CT 06883-2035
Mailing address
205 Davis Hill Rd
Weston, CT 06883-2035
Phone (203) 520-5980
Other names 1
- Michelle Gaetani
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2508 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1164025847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 DAVIS HILL RD",
"city": "WESTON",
"state": "CT",
"postal_code": "068832035",
"telephone_number": "203-520-5980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 DAVIS HILL RD",
"city": "WESTON",
"state": "CT",
"postal_code": "068832035",
"telephone_number": "203-520-5980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECCA",
"first_name": "MICHELLE",
"middle_name": "ANN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "2508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "GAETANI",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Weston, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.