NPIMap

Organization Active NPI

Southbury-Middlebury Youth & Family Services

  • Professional Counselor
  • Southbury, CT
National Provider Identifier
1205967072
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
000053 Issued in CT
Legal business name
SOUTHBURY-MIDDLEBURY YOUTH & FAMILY SERVICES
Practice address
1287 Strongtown Rd
Southbury, CT 06488
Phone
(203) 758-1441
Fax
(203) 758-1658
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lisa Hanggi, M.S.
Title
Exectutive Director
Phone
(203) 758-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 000053 CT Primary

Addresses

Primary practice location

1287 Strongtown Rd
Southbury, CT 06488

Mailing address

1287 Strongtown Rd
Southbury, CT 06488
Phone (203) 758-1441

National Provider Directory

National Provider Directory
Tax ID family
Southbury-Middlebury Youth Family Serv2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205967072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 STRONGTOWN RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "06488",
            "telephone_number": "203-758-1441",
            "fax_number": "203-758-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 STRONGTOWN RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "06488",
            "telephone_number": "203-758-1441",
            "fax_number": "203-758-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBURY-MIDDLEBURY YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANGGI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECTUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-758-1441",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.