Organization Active NPI

Reality Outreach Inc

  • Community/Behavioral Health Agency
  • East Hartford, CT
National Provider Identifier
1215759402
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REALITY OUTREACH INC
Practice address
330 Roberts St Ste 103
East Hartford, CT 06108-3654
Phone
(860) 962-1803
Fax
(203) 590-1197
NPI assigned
Oct 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Rosa L SmithNPI 1609698836
Title
Executive Director
Phone
(860) 962-1803

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X
Community/Behavioral Health Agency 251S00000X Primary
Voluntary or Charitable Agency 251V00000X

Addresses

Primary practice location

330 Roberts St Ste 103
East Hartford, CT 06108-3654

Mailing address

57 Brookwood Dr
Rocky Hill, CT 06067-2723
Phone (860) 962-1803

National Provider Directory

National Provider Directory

Locations

330 Roberts St
Ste 103
East Hartford, CT 06108
Phone (860) 357-8657

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1215759402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BROOKWOOD DR",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672723",
            "telephone_number": "860-962-1803",
            "fax_number": "203-590-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ROBERTS ST STE 103",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083654",
            "telephone_number": "860-962-1803",
            "fax_number": "203-590-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALITY OUTREACH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-962-1803"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.