Active NPI
CT- Family Care Services, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, MA
National Provider Identifier
1174868442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CT- FAMILY CARE SERVICES, LLC
- Practice address
- 155 Maple St
Unit 207-208
Springfield, MA 01105-2649 - Phone
- (413) 285-8722
- Fax
- (413) 285-8642
- NPI assigned
- Nov 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Justinian B Rweyemamu, MA, M.DIV, MS-MFT,
- Title
- President & Ceo
- Phone
- (860) 508-8651
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Research Clinic/Center | 261QR1100X |
Addresses
Primary practice location
155 Maple St
Unit 207-208
Springfield, MA 01105-2649
Mailing address
155 Maple St
Unit 207-208
Springfield, MA 01105-2649
Phone (413) 285-8722
National Provider Directory
National Provider DirectoryLocations
243 Main St
Manchester, CT 06042
Phone (860) 432-8862
155 Maple St
Ste 204
Springfield, MA 01105
Phone (413) 285-8732
155 Maple St
Unit 207208
Springfield, MA 01105
Phone (413) 285-8722
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Longmeadow, MA
- NPI 1831855782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705363200000",
"number": "1174868442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 MAPLE ST",
"address_2": "UNIT 207-208",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011052649",
"telephone_number": "413-285-8722",
"fax_number": "413-285-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MAPLE ST",
"address_2": "UNIT 207-208",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011052649",
"telephone_number": "413-285-8722",
"fax_number": "413-285-8642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CT- FAMILY CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-28",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A",
"authorized_official_last_name": "RWEYEMAMU",
"authorized_official_first_name": "JUSTINIAN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "860-508-8651",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA, M.DIV, MS-MFT,"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.