Bromley Kings Farm Equestrian Company, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

001734 Issued in CT

Legal business name

BROMLEY KINGS FARM EQUESTRIAN COMPANY, LLC

Practice address

3-5 East Hampton Rd, Marlborough Tavern Green
Unit 5
Marlborough, CT 06447-1527

Phone

(860) 705-1730

Fax

(860) 365-5318

NPI assigned

Mar 17, 2013

Last updated

Nov 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karin Bromley

Title

Co-Owner, Chief Operating Officer

Phone

(860) 705-1730

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Jill Bromley, M.S.

  • Professional Counselor
  • Marlborough, CT
  • NPI 1588906184
  NPD (past)

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

{
    "created_epoch": "1363478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1225370265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 CHENEY RD",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471332",
            "telephone_number": "860-705-1730",
            "fax_number": "860-365-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-5 EAST HAMPTON RD, MARLBOROUGH TAVERN GREEN",
            "address_2": "UNIT 5",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471527",
            "telephone_number": "860-705-1730",
            "fax_number": "860-365-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROMLEY KINGS FARM EQUESTRIAN COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-17",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "BROMLEY",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "CO-OWNER, CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "860-705-1730",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001734",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Belanger, PT
• Stephanie Bendiske, MS CCC-SLP, BCBA
• Christopher W Bentley, DO
• Big Y Foods, Inc. (Big Y Pharmacy #109)
• Peter G Boudo Jr., PT
• Jill Bromley, M.S.
• Alysia Brown, LMFT
• Shelley Brown, PT
• Kayla Bubier, PA-C
• Susan Buchek, MD

• Community/Behavioral Health Agency in Marlborough, CT
• Providers in Marlborough, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.