Organization Active NPI

CT- Family Care Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
National Provider Identifier
1174868442
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Jan 16, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.