Itsuannette Canales, MFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2280 Issued in CT

Practice address

2911 Dixwell Ave Ste B-11
Hamden, CT 06518-3152

Phone

(203) 903-2208

NPI assigned

Jul 7, 2020

Last updated

Jul 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stand Counseling & Coaching

  • Marriage & Family Therapist
  • Hamden, CT
  • NPI 1992510499
  NPD Authorized official

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1396363230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BEACON ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144011",
            "telephone_number": "203-715-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 DIXWELL AVE STE B-11",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183152",
            "telephone_number": "203-903-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALES",
        "first_name": "ITSUANNETTE",
        "credential": "MFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigid Kathleen Callahan
• Joseph A Camilleri Jr., MD
• Kaley Lynn Cammilleri
• Anthony Frank Campagna, PHD
• Carmen Canales
• Joseph Xavier Canarie, M.D.
• Candela Counseling, LLC
• Vincent Cangiano, LPC
• Christopher Richard Canny, MD
• Giuseppe Capasso, MD

• Marriage & Family Therapist in Hamden, CT
• Providers in Hamden, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.