NPIMap

Organization Active NPI

Family Centers Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwich, CT
National Provider Identifier
1265477780
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FAMILY CENTERS INC
Practice address
20 Bridge St
Greenwich, CT 06830-5238
Phone
(203) 629-2822
Fax
(209) 629-2940
NPI assigned
Jun 18, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

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
Chief Financial Officer
Phone
(203) 517-1016

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X
Federally Qualified Health Center (FQHC) 261QF0400X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

20 Bridge St
Greenwich, CT 06830-5238

Mailing address

40 Arch St
Greenwich, CT 06830-6525
Phone (206) 869-4848

Other practice location 1

590 Boston Post Rd
Darien, CT 06820-3608
Phone (203) 655-4693

Other identifiers 3

IdentifierTypeStateIssuer
004172912MedicaidCT
004270039MedicaidCT
004172920MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

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
Practice locations: Greenwich, CT; Stamford, CT; Cos Cob, CT; Darien, CT
O20170407000000 CT Part A Provider - Federally Qualified Health Center (FQHC) 6507753324 Practice locations: Greenwich, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265477780. Details of each certification follow.

Federally qualified health center certification: CCN 071928

Legal name
FAMILY CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 17, 2017
Last certification
Apr 17, 2017
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Jan 24, 2017 in CT
Enrollment address
20 Bridge St
Greenwich, CT 68305238

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.

National Provider Directory

National Provider Directory
Tax ID family
Family Centers Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10 Hillside Rd
Greenwich, CT 06830
Phone (203) 364-2310

117 Vine Rd
Stamford, CT 06905
Phone (203) 977-4284

60 Palmers Hill Rd
Stamford, CT 06902
Phone (203) 324-3167

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
Nisha Hurst Individual Corporate OfficerVice Chair Jan 1, 2026
Katherine Murphy Clark Individual Corporate OfficerBoard Chair Jan 1, 2025
Shawn Mullen Individual Corporate OfficerCfo Mar 9, 2026
W-2 Managing EmployeeCfo Mar 9, 2026
Operational/Managerial Control Mar 9, 2026
Louis Josephson Individual Corporate OfficerCeo Jan 1, 2025
Operational/Managerial ControlCeo Jan 1, 2025
Jennifer Hyde Individual Corporate OfficerBoard Vice Chair Jan 1, 2025
John Straus Individual Corporate OfficerBoard Treasurer Jan 1, 2025

Practitioners & affiliated clinicians

Practitioners 45

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 45

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1265477780",
    "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": "206-869-4848",
            "fax_number": "206-869-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BRIDGE ST",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305238",
            "telephone_number": "203-629-2822",
            "fax_number": "209-629-2940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Darien",
            "state": "CT",
            "postal_code": "068203608",
            "country_code": "US",
            "telephone_number": "203-655-4693",
            "fax_number": "203-655-3452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "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": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-517-1016"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "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": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004172912",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004270039",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004172920",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.