NPIMap

Organization Active NPI

Old Saybrook Youth and Family Services

  • Professional Counselor
  • Old Saybrook, CT
National Provider Identifier
1386867174
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
OLD SAYBROOK YOUTH AND FAMILY SERVICES
Practice address
322 Main St
Old Saybrook, CT 06475-2350
Phone
(860) 395-3190
NPI assigned
Apr 10, 2007
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
Mr. Larry Freundlich
Title
Director
Phone
(860) 395-3190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

322 Main St
Old Saybrook, CT 06475-2350

Mailing address

322 Main Street
Old Saybrook, CT 06475
Phone (860) 395-3190

National Provider Directory

National Provider Directory
Tax ID family
Old Saybrook Youth and Family Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

322 Main St
Old Saybrook, CT 06475
Phone (860) 395-3190

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386867174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 MAIN STREET",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "06475",
            "telephone_number": "860-395-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MAIN ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752350",
            "telephone_number": "860-395-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD SAYBROOK YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREUNDLICH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-395-3190",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, 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.