Connecticut Behavioral Outreach, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CONNECTICUT BEHAVIORAL OUTREACH, INC.

Practice address

32 Wooding Rd
Wallingford, CT 06492-2242

Phone

(203) 626-5202

Fax

(877) 387-7133

NPI assigned

May 29, 2009

Organization subpart

No

Name

Mrs. Muriel Taylor Tomer, M.A.T.

Title

Executive Director

Phone

(203) 626-5202

• CTBOINC, CTBO Inc. Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2009.

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1265668602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WOODING RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922242",
            "telephone_number": "203-626-5202",
            "fax_number": "877-387-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WOODING RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922242",
            "telephone_number": "203-626-5202",
            "fax_number": "877-387-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT BEHAVIORAL OUTREACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "TOMER",
        "authorized_official_first_name": "MURIEL",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-626-5202",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.T."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CTBOINC, CTBO Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.