Active NPI
Judy Cabeceiras
- Community/Behavioral Health Agency
- Canton, CT
National Provider Identifier
1376729624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 001212
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004271392 | Medicaid | CT |
Other names 1
- Solutions Psychotherapy, LLC
National Provider Directory
National Provider DirectoryLocations
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.