NPIMap

Organization Active NPI

Meridian Psychotherapy Associates of Connecticut LLC

  • Clinical Social Worker
  • Newtown, CT
National Provider Identifier
1225668650
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MERIDIAN PSYCHOTHERAPY ASSOCIATES OF CONNECTICUT LLC
Practice address
25 Church Hill Rd Ste 202
Newtown, CT 06470-1646
Phone
(203) 988-6900
NPI assigned
Jan 24, 2020
Last updated
Jan 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Thomas Tavar
Title
Managing Partner
Phone
(203) 417-7787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

25 Church Hill Rd Ste 202
Newtown, CT 06470-1646

Mailing address

PO Box 3023
Newtown, CT 06470-3023
Phone (203) 988-6900

Other practice location 1

1012 Storrs Rd
Storrs Mansfield, CT 06268-2606
Phone (203) 988-6900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@meridianpsy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200615002519 CT Part B Supplier - Clinic/Group Practice 3971925298 Receives reassigned benefits from 1 practitioner
Practice locations: Newtown, CT

National Provider Directory

National Provider Directory
Tax ID family
Meridian Psychotherapy Associates LLC2 organizations share this tax ID, including this one
Part of
Meridian Psychotherapy Associates LLC

Other organizations with this tax ID 1

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

Locations

25 Church Hill Rd
Newtown, CT 06470
Phone (203) 270-1122

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1225668650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3023",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064703023",
            "telephone_number": "203-988-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHURCH HILL RD STE 202",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701646",
            "telephone_number": "203-988-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Storrs Rd",
            "address_purpose": "LOCATION",
            "city": "Storrs Mansfield",
            "state": "CT",
            "postal_code": "062682606",
            "country_code": "US",
            "telephone_number": "203-988-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERIDIAN PSYCHOTHERAPY ASSOCIATES OF CONNECTICUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "TAVAR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "203-417-7787"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@meridianpsy.com",
            "affiliation": "N",
            "endpointDescription": "secure inbox email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "25 Church Hill Rd Ste 202",
            "city": "Newtown",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064701646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.