Individual provider Active NPI

Dana Michie, LMFT

  • Marriage & Family Therapist
  • Wilton, CT
National Provider Identifier
1184828501
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001014 Issued in CT
Practice address
436 Danbury Rd
Wilton, CT 06897-2023
Phone
(203) 834-5020
Fax
(203) 563-9936
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001014 CT Primary

Addresses

Primary practice location

436 Danbury Rd
Wilton, CT 06897-2023

Mailing address

4 Apple LN
Redding, CT 06896-2806
Phone (203) 544-8122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827003612 CT Practitioner - Marriage and Family Therapist 4082115514 Practice locations: Norwalk, CT

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21 Parallel St
Norwalk, CT 06850-2627
Phone (203) 648-0066

7161 SW 11TH St
Plantation, FL 33317-4114

737 Woodside Dr
Westminster, MD 21157-6243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1014CTMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184828501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 APPLE LN",
            "city": "REDDING",
            "state": "CT",
            "postal_code": "068962806",
            "telephone_number": "203-544-8122",
            "fax_number": "203-544-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972023",
            "telephone_number": "203-834-5020",
            "fax_number": "203-563-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHIE",
        "first_name": "DANA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

Verify at the official NPI Registry.