Organization Active NPI

Family Centers Inc.

  • Multi-Specialty Clinic/Center
  • Greenwich, CT
National Provider Identifier
1235588625
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
FAMILY CENTERS INC.
Doing business as
Family Centers Inc.
Practice address
75 Holly Hill LN Ste 102
Greenwich, CT 06830-2911
Phone
(203) 717-1760
Fax
(203) 622-2951
NPI assigned
Jun 7, 2016
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY CENTERS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Marion Beale
Title
Acting Cfo
Phone
(203) 517-1016

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Multi-Specialty Clinic/Center 261QM1300X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

75 Holly Hill LN Ste 102
Greenwich, CT 06830-2911

Mailing address

40 Arch St
Greenwich, CT 06830-6525
Phone (203) 829-2822

Other practice location 1

111 Wilbur Peck Ct Lowr Level
Greenwich, CT 06830-6323
Phone (203) 717-1760

Other names 1

  • FAMILY CENTERS INC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040304000351 CT Part B Supplier - Clinic/Group Practice 6507753324 Receives reassigned benefits from 33 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenwich, CT; Stamford, CT; Cos Cob, CT; Darien, CT
O20160720000092 CT Part A Provider - Federally Qualified Health Center (FQHC) 6507753324 Practice locations: Greenwich, CT
O20250227001764 CT Part A Provider - Federally Qualified Health Center (FQHC) 6507753324 Practice locations: Greenwich, CT

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1235588625. Details of each certification follow.

Federally qualified health center certification: CCN 071924

Legal name
FAMILY CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 9, 2016
Last certification
Sep 9, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 18, 1942 in CT
Enrollment address
111 Wilbur Peck CT
Lowr Level
Greenwich, CT 68306354

Federally qualified health center certification: CCN 071033

Legal name
FAMILY CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 25, 2025
Last certification
Feb 25, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
75 Holly Hill LN
Ste 102
Greenwich, CT 68302911

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2112693Family Centers Health Care-75 Holly Hill Lane75 Holly Hill Lane, Greenwich, CT 06830Certificate of waiverMay 4, 2028

National Provider Directory

National Provider Directory
Part of
Family Center Inc

Locations

20 Bridge St
Greenwich, CT 06830
Phone (203) 629-2822

11 W North St
Stamford, CT 06902
Phone (203) 977-4544

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Meredith Pyne Individual Corporate OfficerSecretary Jan 1, 2026
Operational/Managerial ControlSecretary Jan 1, 2026
Nisha Hurst Individual Corporate OfficerVice Chairman Jan 1, 2026
Operational/Managerial ControlVice Chair Jan 1, 2026
Corporate OfficerVice Chair Jan 1, 2026
Katherine Murphy Clark Individual Corporate OfficerChairman Jan 1, 2025
Operational/Managerial ControlChairman Jan 1, 2025
Corporate Director Nov 1, 2018
Shawn Mullen Individual Corporate OfficerCfo Mar 9, 2026
W-2 Managing EmployeeCfo Mar 9, 2026
Operational/Managerial ControlCfo Mar 9, 2026
Louis Josephson Individual Contracted Managing EmployeeCeo Jan 1, 2025
Corporate OfficerCeo Jan 1, 2025
Corporate DirectorCeo Jan 1, 2025
W-2 Managing EmployeeCeo Jan 1, 2025
Operational/Managerial ControlCeo Jan 1, 2025
Jennifer Hyde Individual Corporate OfficerVice Chairman Jan 1, 2025
Operational/Managerial ControlVice Chairman Jan 1, 2025
Corporate OfficerBoard Vice Chair Jan 1, 2025
John Straus Individual Corporate OfficerTresurer Jan 1, 2025
Operational/Managerial ControlTreasurer Jan 1, 2025
Corporate Director Nov 1, 2018

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1235588625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ARCH ST",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306525",
            "telephone_number": "203-829-2822",
            "fax_number": "203-629-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN STE 102",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068302911",
            "telephone_number": "203-717-1760",
            "fax_number": "203-622-2951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Wilbur Peck Ct Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068306323",
            "country_code": "US",
            "telephone_number": "203-717-1760",
            "fax_number": "203-622-2951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY CENTERS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY CENTERS INC.",
        "enumeration_date": "2016-06-07",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "BEALE",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "ACTING CFO",
        "authorized_official_telephone_number": "203-517-1016"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CENTERS INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY CENTERS INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.