Active NPI
Susan Marie York, LMFT
- Marriage & Family Therapist
- East Haven, CT
National Provider Identifier
1336204478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001118
- Practice address
- 595 Thompson Avenue
East Haven Counseling & Community Services
East Haven, CT 06512 - Phone
- (203) 468-3297
- Fax
- (203) 468-3334
- NPI assigned
- Dec 27, 2006
- Last updated
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001118 | CT | Primary |
Addresses
Primary practice location
595 Thompson Avenue
East Haven Counseling & Community Services
East Haven, CT 06512
Mailing address
595 Thompson Avenue
East Haven Counseling & Community Services
East Haven, CT 06512
Phone (203) 468-3297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004051652 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001118 | CT | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1336204478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 THOMPSON AVENUE",
"address_2": "EAST HAVEN COUNSELING & COMMUNITY SERVICES",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "06512",
"telephone_number": "203-468-3297",
"fax_number": "203-468-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 THOMPSON AVENUE",
"address_2": "EAST HAVEN COUNSELING & COMMUNITY SERVICES",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "06512",
"telephone_number": "203-468-3297",
"fax_number": "203-468-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "001118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004051652",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.