Organization Active NPI

Associates for Resolutiontherapy LLC

  • Marriage & Family Therapist
  • Southport, CT
National Provider Identifier
1174615827
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000786 Issued in CT
Legal business name
ASSOCIATES FOR RESOLUTIONTHERAPY LLC
Practice address
101 Harbor Rd
Southport, CT 06890-1316
Phone
(203) 254-8262
Fax
(203) 255-2512
NPI assigned
Sep 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Paulette Kay Trueblood, M.A,, L.M.F.T.NPI 1902998560
Title
Family Therapist and Owner of LLC
Phone
(203) 254-8268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000786 CT Primary

Addresses

Primary practice location

101 Harbor Rd
Southport, CT 06890-1316

Mailing address

101 Harbor Rd
Southport, CT 06890-1316
Phone (203) 254-8262

National Provider Directory

National Provider Directory

Locations

101 Harbor Rd
Southport, CT 06890
Phone (203) 254-8262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174615827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HARBOR RD",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901316",
            "telephone_number": "203-254-8262",
            "fax_number": "203-255-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HARBOR RD",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901316",
            "telephone_number": "203-254-8262",
            "fax_number": "203-255-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES FOR RESOLUTIONTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUEBLOOD",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "FAMILY THERAPIST AND OWNER OF LLC",
        "authorized_official_telephone_number": "203-254-8268",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A,, L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.