Southbury-Middlebury Youth & Family Serv

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000867 Issued in CT

Legal business name

SOUTHBURY-MIDDLEBURY YOUTH & FAMILY SERV

Practice address

1287 Strongtown Rd
Southbury, CT 06488-1948

Phone

(203) 758-1441

Fax

(203) 758-1658

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Hanggi, M.S.

Title

Executive Director

Phone

(203) 758-1441

Specialties & licenses 1

Addresses

Tax ID family

Southbury-Middlebury Youth Family Serv2 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.

• Southbury-Middlebury Youth & Family Services

  • Professional Counselor
  • Southbury, CT
  • NPI 1205967072
  NPD tax ID

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1285766634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 STRONGTOWN RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881948",
            "telephone_number": "203-758-1441",
            "fax_number": "203-758-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 STRONGTOWN RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881948",
            "telephone_number": "203-758-1441",
            "fax_number": "203-758-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBURY-MIDDLEBURY YOUTH & FAMILY SERV",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "HANGGI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-758-1441",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southbury Physical Therapy
• Southbury Senior Living, LLC
• Southbury Smiles, LLC
• Southbury Sports and Spine Chiropractic LLC
• Southbury Wellness Center, LLC
• Southbury-Middlebury Youth & Family Services
• Southbury-Middlebury Youth and Family Services
• Jaiden Souza
• Marlene Spahr
• Speech Works, LLC

• Marriage & Family Therapist in Southbury, CT
• Providers in Southbury, 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 Jul 24, 2007; 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.