Organization Active NPI

Summit Women'S Center Inc

  • Non-Surgical Family Planning Clinic/Center
  • Bridgeport, CT
National Provider Identifier
1376552356
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
License
0036 Issued in CT
Legal business name
SUMMIT WOMEN'S CENTER INC
Practice address
3787 Main St
Bridgeport, CT 06606-3612
Phone
(203) 365-2660
Fax
(203) 365-2667
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Janie Umbricht
Title
Insurance Service Director
Phone
(203) 259-8782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X 0036 CT Primary

Addresses

Primary practice location

3787 Main St
Bridgeport, CT 06606-3612

Mailing address

61 Unquowa Rd
Fairfield, CT 06824-5096
Phone (203) 259-8782

Other identifiers 4

IdentifierTypeStateIssuer
7776537OtherCTAETNA
A401003OtherCTOXFORD
004048195MedicaidCT
725484OtherCTCONNECTICARE

National Provider Directory

National Provider Directory

Locations

3787 Main St
Bridgeport, CT 06606
Phone (203) 365-2660

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1376552356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 UNQUOWA RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245096",
            "telephone_number": "203-259-8782",
            "fax_number": "203-259-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3787 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063612",
            "telephone_number": "203-365-2660",
            "fax_number": "203-365-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT WOMEN'S CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "UMBRICHT",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "INSURANCE SERVICE DIRECTOR",
        "authorized_official_telephone_number": "203-259-8782"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "CT",
            "license": "0036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7776537",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A401003",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004048195",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "725484",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.