Samantha Bachman LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003406 Issued in CT

Legal business name

SAMANTHA BACHMAN LLC

Practice address

14 Depot PL FL 1
Bethel, CT 06801-2540

Phone

(203) 313-1541

NPI assigned

May 25, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Samantha Bachman, LLC

Title

Owner

Phone

(203) 313-1541

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1235620154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DEPOT PL FL 1",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DEPOT PL FL 1",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012540",
            "telephone_number": "203-313-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA BACHMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "BACHMAN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-313-1541",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LLC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Richmond
• Khayla Rodriguez
• Daniel Lawrence Rose, BCBA
• Jane Rosenberg
• Michael V Sabbarese, DC
• Sangiacomo and Perrotta, D.M.D., LLC
• Kenneth S Sangiacomo, DMD
• Zully Santana, CLC
• Sudeepa Sanyal, RPH
• Barbara Hamilton Sarabia, RPT

• Professional Counselor in Bethel, CT
• Providers in Bethel, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.