Full Circle Youth Empowerment

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FULL CIRCLE YOUTH EMPOWERMENT

Practice address

583-585 East Main Street
Bridgeport, CT 06608

Phone

(203) 332-6200

Fax

(203) 332-6202

NPI assigned

Nov 14, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Andrea AndrewsNPI 1457192999

Title

Credentialing Manager

Phone

(203) 400-2725

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Marie Andrews, LMSW

  • Mental Health Counselor
  • Hartford, CT
  • NPI 1457192999
  NPD Authorized official

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1184193591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 MADISON AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063241",
            "telephone_number": "203-400-2725",
            "fax_number": "203-557-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583-585 EAST MAIN STREET",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06608",
            "telephone_number": "203-332-6200",
            "fax_number": "203-332-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE YOUTH EMPOWERMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "203-400-2725",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katrina Oberio Fuentes, RN
• Gail Fulco-Tantorski, PA-C
• Gena Fuller, ATC/L
• Matthew Francis Funk, D.C.
• Furze & Ackley Optical Inc.
• Anthony Fusco
• Yekaterina Gabova

• Community/Behavioral Health Agency in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.