Jessica R Fay LCSW LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

006907 Issued in CT

Legal business name

JESSICA R FAY LCSW LLC

Practice address

14 Trumbull St
Suite 102
New Haven, CT 06511-6312

Phone

(203) 506-0789

NPI assigned

Jul 31, 2012

Organization subpart

No

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

Authorized official

Name

Jessica R Fay, LCSWNPI 1477794683

Title

Owner

Phone

(203) 506-0789

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica R Fay, LCSW

  • Clinical Social Worker
  • Plainville, CT
  • NPI 1477794683
  NPD (past) Authorized official

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1366798118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TRUMBULL ST",
            "address_2": "SUITE 102",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116312",
            "telephone_number": "203-506-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 TRUMBULL ST",
            "address_2": "SUITE 102",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116312",
            "telephone_number": "203-506-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA R FAY LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "FAY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-506-0789",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "006907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Leigh Jernigan, PSYD
• Kate Jerome, LCSW
• Stephen P Jersey, PHYSICAL THERAPIST
• Teodoro Edmundo Jerves Serrano, MD
• Erika Jessen, M. D.
• Kimberly Jewers-Dailley, M.A., RDT
• Jewish Family Service of New Haven Inc
• Jewish Family Service of New Haven Inc.
• Jewish Home for Aged
• Jha Health Care, Inc. (Goodwin-Levine Adult Day Health Center)

• Community/Behavioral Health Agency in New Haven, CT
• Providers in New Haven, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.