The Maria Seymour Brooker Memorial, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

009025 Issued in CT

Legal business name

THE MARIA SEYMOUR BROOKER MEMORIAL, INC.

Practice address

157 Litchfield St
Torrington, CT 06790-6427

Phone

(860) 489-1328

Fax

(860) 489-4761

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Cathy L Coyle

Title

Executive Director

Phone

(860) 482-3012

Specialties & licenses 2

Addresses

Tax ID family

Maria Seymour Brooker Memorial Center for Children'S Therapy2 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.

• Maria Seymour Brooker Memorial Center for Children'S Therapy

  • Clinic/Center
  • Torrington, CT
  • NPI 1124670625
  NPD tax ID

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1225196702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906427",
            "telephone_number": "860-489-1328",
            "fax_number": "860-489-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906427",
            "telephone_number": "860-489-1328",
            "fax_number": "860-489-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARIA SEYMOUR BROOKER MEMORIAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-482-3012"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "009025",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "009025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Alexis Testa, DPT
• Kathleen Thayer, APRN
• The Charlotte Hungerford Hospital
• The Charlotte Hungerford Hospital
• The Lotus Blossom Wellness, LLC
• The Social Nest PLLC
• Therapy on the Run
• Stephanie Thibault, LCSW
• Patricia A. Thomas, MSW
• Sarah Kathryn Thomen, APRN

• Pediatric Dentistry in Torrington, CT
• Providers in Torrington, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.