Organization Active NPI

Judy Cabeceiras

  • Community/Behavioral Health Agency
  • Canton, CT
National Provider Identifier
1376729624
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
001212 Issued in CT
Legal business name
JUDY CABECEIRAS
Practice address
50 Albany Tpke
Suite 5036
Canton, CT 06019-2516
Phone
(860) 693-1708
Fax
(860) 693-1758
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mrs. Judy Cabeceiras, LMFT
Title
Owner
Phone
(860) 693-1708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 001212 CT Primary

Addresses

Primary practice location

50 Albany Tpke
Suite 5036
Canton, CT 06019-2516

Mailing address

50 Albany Tpke
Suite 5036
Canton, CT 06019-2516
Phone (860) 693-1708

Other identifiers 1

IdentifierTypeStateIssuer
004271392MedicaidCT

Other names 1

  • Solutions Psychotherapy, LLC Other name

National Provider Directory

National Provider Directory

Locations

50 Albany Tpke
Ste 5036
Canton, CT 06019
Phone (860) 693-1708

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1376729624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALBANY TPKE",
            "address_2": "SUITE 5036",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192516",
            "telephone_number": "860-693-1708",
            "fax_number": "860-693-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALBANY TPKE",
            "address_2": "SUITE 5036",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192516",
            "telephone_number": "860-693-1708",
            "fax_number": "860-693-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY CABECEIRAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "CABECEIRAS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-693-1708",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004271392",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solutions Psychotherapy, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.