Active NPI
Catherine Kovac Graham, CLT, OTR/L
- Occupational Therapist
- East Haven, CT
National Provider Identifier
1407171382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 002430
- Practice address
- 451 N High St
East Haven, CT 06512-1555 - Phone
- (203) 466-6850
- NPI assigned
- Apr 2, 2010
- Last updated
- Apr 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 002430 | CT | Primary |
Addresses
Primary practice location
451 N High St
East Haven, CT 06512-1555
Mailing address
367 W River Rd
Orange, CT 06477-2741
Phone (203) 641-4001
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 |
|---|---|---|---|
| 002430 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270166400000",
"number": "1407171382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 W RIVER RD",
"city": "ORANGE",
"state": "CT",
"postal_code": "064772741",
"telephone_number": "203-641-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 N HIGH ST",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065121555",
"telephone_number": "203-466-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "CATHERINE",
"middle_name": "KOVAC",
"name_prefix": "Mrs.",
"credential": "CLT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-02",
"last_updated": "2010-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "002430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.