Personal Growth Consultants LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002500 Issued in CT

Legal business name

PERSONAL GROWTH CONSULTANTS LLC

Practice address

840 Post Rd E
Westport, CT 06880-5236

Phone

(203) 912-6943

Fax

(203) 454-0860

NPI assigned

Jul 15, 2013

Last updated

Aug 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Janet Marie Bertoldi

Title

Director

Phone

(203) 912-6943

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1265873533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WILTON CRST",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974053",
            "telephone_number": "203-912-6943",
            "fax_number": "203-454-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805236",
            "telephone_number": "203-912-6943",
            "fax_number": "203-454-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL GROWTH CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "BERTOLDI",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-912-6943",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.