Ursula.L.Chock-Harris,LCSW, P.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

004791 Issued in CT

Legal business name

URSULA.L.CHOCK-HARRIS,LCSW, P.C.

Practice address

451 State St
North Haven, CT 06473-3070

Phone

(860) 951-4530

NPI assigned

Jul 30, 2015

Last updated

Jul 30, 2015By 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

Ursula Lin-Oi Chock-Harris, LCSW

Title

Clinician/Owner

Phone

(860) 951-4530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1164808226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WIGGINS FARM DR",
            "address_2": "UNIT E",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702489",
            "telephone_number": "860-951-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733070",
            "telephone_number": "860-951-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URSULA.L.CHOCK-HARRIS,LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "CHOCK-HARRIS",
        "authorized_official_first_name": "URSULA",
        "authorized_official_middle_name": "LIN-OI",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "860-951-4530",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "004791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in North Haven, CT
• Providers in North Haven, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.