NPIMap

Organization Active NPI

Mid-Fairfield Child Guidance Center

Doing business as Child Guidance Center of Mid-Fairfield Center

  • Community/Behavioral Health Agency
  • Norwalk, CT
National Provider Identifier
1376757872
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OPCC-3 Issued in CT
Legal business name
MID-FAIRFIELD CHILD GUIDANCE CENTER
Doing business as
Child Guidance Center of Mid-Fairfield Center
Practice address
100 East Ave
Norwalk, CT 06851-5010
Phone
(203) 299-1315
NPI assigned
May 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stuart Greenbaum
Title
Executive Director
Phone
(203) 299-1315

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X EDT-14 CT
Community/Behavioral Health Agency 251S00000X OPCC-3 CT Primary

Addresses

Primary practice location

100 East Ave
Norwalk, CT 06851-5010

Mailing address

100 East Ave
Norwalk, CT 06851-5010

Other names 1

  • Child Guidance Center of Mid-Fairfield Center Doing business as

National Provider Directory

National Provider Directory

Locations

100 East Ave
Norwalk, CT 06851
Phone (203) 299-1315

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376757872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515010",
            "telephone_number": "203-299-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FAIRFIELD CHILD GUIDANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-299-1315"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "EDT-14",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "OPCC-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child Guidance Center of Mid-Fairfield Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.