Individual provider Active NPI

Nancy K. Wergeles, MS.,MFT

  • Marriage & Family Therapist
  • Southport, CT
National Provider Identifier
1194928515
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001208 Issued in CT
Practice address
49 John St
Southport, CT 06890-1436
Phone
(203) 307-3030
Fax
(203) 255-7486
NPI assigned
Jun 6, 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 001208 CT Primary

Addresses

Primary practice location

49 John St
Southport, CT 06890-1436

Mailing address

47 Fanton Hill Rd
Weston, CT 06883-2407
Phone (203) 227-2048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001208CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Janet Brown Mendell LLC Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194928515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 FANTON HILL RD",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068832407",
            "telephone_number": "203-227-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 JOHN ST",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901436",
            "telephone_number": "203-307-3030",
            "fax_number": "203-255-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERGELES",
        "first_name": "NANCY",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "MS.,MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.