Fukami Mizuno

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

61 Colony St
Meriden, CT 06451-3210

Phone

(203) 235-2507

NPI assigned

Dec 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catholic Charities, Inc. - Archdioceseof Hartford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meriden, CT
  • NPI 1578657789
  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1245475987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260911",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061260911",
            "telephone_number": "860-335-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 COLONY ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064513210",
            "telephone_number": "203-235-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZUNO",
        "first_name": "FUKAMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Ming, M.A.
• Mubarik N Mir
• Misbah M. Vahidy, MD, PC
• William C Mitchard, DPM
• Satina Mitchell, LCSW
• Bita Moeinifar, OD
• Justin Tyrone Montanye, MD
• Danielle Marie Montesanto, APRN, PMHNP
• Liz Jessenia Morales, LCSW
• Robert F Morrison, M.D.

• Marriage & Family Therapist in Meriden, CT
• Providers in Meriden, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.