Active NPI
Carolyn Michelle Yagaloff, LMFT
- Marriage & Family Therapist
- Bristol, CT
National Provider Identifier
1407027675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001169
- Practice address
- 440 C North Main Street
The Counseling Center
Bristol, CT 06010-1902 - Phone
- (860) 583-5858
- Fax
- (860) 584-9962
- NPI assigned
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001169 | CT | Primary |
Addresses
Primary practice location
440 C North Main Street
The Counseling Center
Bristol, CT 06010-1902
Mailing address
440 C North Main Street
The Counseling Center
Bristol, CT 06010-1902
Phone (860) 583-5858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001169 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1407027675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 C NORTH MAIN STREET",
"address_2": "THE COUNSELING CENTER",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060101902",
"telephone_number": "860-583-5858",
"fax_number": "860-584-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 C NORTH MAIN STREET",
"address_2": "THE COUNSELING CENTER",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060101902",
"telephone_number": "860-583-5858",
"fax_number": "860-584-9962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAGALOFF",
"first_name": "CAROLYN",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "001169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.