Organization Active NPI

Adult, Child and Family Psychotherapy

  • Mental Health Counselor
  • Newtown, CT
National Provider Identifier
1225693369
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ADULT, CHILD AND FAMILY PSYCHOTHERAPY
Practice address
25 Church Hill Rd Ste 102
Newtown, CT 06470-1646
Phone
(475) 988-7939
Fax
(475) 298-1319
NPI assigned
May 3, 2019
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Mrs. Tameria Macari, LPCNPI 1285189902
Title
Clinical Director
Phone
(475) 777-6301

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

25 Church Hill Rd Ste 102
Newtown, CT 06470-1646

Mailing address

25 Church Hill Rd Ste 102
Newtown, CT 06470-1646
Phone (475) 988-7939

Other identifiers 1

IdentifierTypeStateIssuer
008068250MedicaidCT

National Provider Directory

National Provider Directory

Locations

3095 Main St
Ste 2
Stratford, CT 06614
Phone (203) 581-3015

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1225693369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHURCH HILL RD STE 102",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701646",
            "telephone_number": "475-988-7939",
            "fax_number": "475-298-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHURCH HILL RD STE 102",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701646",
            "telephone_number": "475-988-7939",
            "fax_number": "475-298-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT, CHILD AND FAMILY PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "MACARI",
        "authorized_official_first_name": "TAMERIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "475-777-6301",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008068250",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "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 Dec 11, 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.