NPIMap

Organization Active NPI

Trading Spaces ABA, LLC

  • Community/Behavioral Health Agency
  • Glastonbury, CT
National Provider Identifier
1205219060
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRADING SPACES ABA, LLC
Practice address
437 Naubuc Ave
Ste. 105
Glastonbury, CT 06033-1080
Phone
(321) 914-7430
Fax
(660) 812-2399
NPI assigned
Jun 29, 2015
Last updated
Mar 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Mr. Glenroy Patrick PattersonNPI 1063754653
Title
Ceo
Phone
(860) 430-1340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU
In Home Supportive Care Agency 253Z00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

437 Naubuc Ave
Ste. 105
Glastonbury, CT 06033-1080

Mailing address

2800 Main Street
Glastonbury, CT 06033-1080
Phone (860) 430-1340

National Provider Directory

National Provider Directory

Locations

2800 Main St
Glastonbury, CT 06033
Phone (860) 340-1340

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1205219060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN STREET",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331080",
            "telephone_number": "860-430-1340",
            "fax_number": "860-812-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 NAUBUC AVE",
            "address_2": "STE. 105",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331080",
            "telephone_number": "321-914-7430",
            "fax_number": "660-812-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADING SPACES ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "GLENROY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-430-1340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.