Cognitive and Behavioral Care Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COGNITIVE AND BEHAVIORAL CARE CENTER, LLC

Practice address

55 Old Post Road #2, Suite 2C
Greenwich, CT 06830

Phone

(203) 760-0044

NPI assigned

Jul 23, 2020

Organization subpart

No

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

Authorized official

Name

Amanda Edwards Doheny, LCSWNPI 1548493232

Title

Owner

Phone

(203) 760-0044

Specialties & licenses 1

Addresses

Other names 2

• Amanda Edwards, LCSW Former legal business name
• Cognitive and Behavioral Care Center of Connecticut, LLC Former legal business name

Practitioners 1

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

• Amanda J Edwards Doheny, LCSW

  • Clinical Social Worker
  • White Plains, NY
  • NPI 1548493232
  NPD Authorized official

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1194334334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JENIFER LN",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068071719",
            "telephone_number": "917-656-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD POST ROAD #2, SUITE 2C",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "06830",
            "telephone_number": "203-760-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE AND BEHAVIORAL CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "EDWARDS DOHENY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-760-0044",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda Edwards, LCSW",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Cognitive and Behavioral Care Center of Connecticut, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Counselor in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.