Michael Fontana, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

CT 001013 Issued in CT

Practice address

13 Fresh Meadow Rd
Easton, CT 06612-2215

Phone

(203) 259-8998

NPI assigned

Jan 17, 2007

Last updated

Sep 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1184776312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 FRESH MEADOW RD",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066122215",
            "telephone_number": "203-259-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 FRESH MEADOW RD",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066122215",
            "telephone_number": "203-259-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANA",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001013",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "CT 001013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "270023827",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Easton Volunteer Emergency Medical Service, Inc.
• Roger Madison Echols, MD
• Susan Eisenberg, PT
• Veronica Ellison, LCSW
• Fairfield County Senior Services, L.L.C.
• Lynne A Freiburger-Epstein, DO
• Tara Gans, MA, MFT
• Ginny M Gerbino-Rosen, M.D
• Jack David Glasser, MD
• Robin Lynn Hohorst, D.C.

• Marriage & Family Therapist in Easton, CT
• Providers in Easton, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.