Organization Active NPI

Putnam Board of Education

  • Local Education Agency (LEA)
  • Putnam, CT
National Provider Identifier
1366524100
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
251300000X Issued in CT
Legal business name
PUTNAM BOARD OF EDUCATION
Practice address
126 Church St
Putnam, CT 06260-1831
Phone
(860) 963-6900
Fax
(860) 963-6903
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Mrs. Margo M Marvin
Title
Superintendent
Phone
(860) 963-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 251300000X CT Primary

Addresses

Primary practice location

126 Church St
Putnam, CT 06260-1831

Mailing address

126 Church St
Putnam, CT 06260-1831
Phone (860) 963-6900

Other identifiers 1

IdentifierTypeStateIssuer
004097665MedicaidCT

National Provider Directory

National Provider Directory

Locations

126 Church St
Putnam, CT 06260
Phone (860) 963-6900

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1366524100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 CHURCH ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601831",
            "telephone_number": "860-963-6900",
            "fax_number": "860-963-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CHURCH ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601831",
            "telephone_number": "860-963-6900",
            "fax_number": "860-963-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM BOARD OF EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "MARVIN",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "860-963-6900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CT",
            "license": "251300000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004097665",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.