Organization Active NPI

Bespoke Therapy CT, PLLC

  • Psychiatry Physician
  • Milford, CT
National Provider Identifier
1255236527
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BESPOKE THERAPY CT, PLLC
Practice address
330 Merwin Ave
Suite D1
Milford, CT 06460
Phone
(859) 547-2012
NPI assigned
Oct 8, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Justin Branham, APRN
Title
Founder & Ceo
Phone
(859) 547-2012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

330 Merwin Ave
Suite D1
Milford, CT 06460

Mailing address

167 Cherry St Ste 147
Milford, CT 06460-3466

NPI Registry JSON

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1255236527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 CHERRY ST STE 147",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MERWIN AVE",
            "address_2": "SUITE D1",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "859-547-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE THERAPY CT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "BRANHAM",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "859-547-2012",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.