Active NPI
Autumn Cussen, DC
- Chiropractor
- Milford, CT
National Provider Identifier
1407501406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2041
- Practice address
- 100 Lansdale Ave Unit M
Milford, CT 06460-5157 - Phone
- (616) 293-5420
- NPI assigned
- Feb 17, 2022
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2041 | CT | Primary |
Addresses
Primary practice location
100 Lansdale Ave Unit M
Milford, CT 06460-5157
Mailing address
392 State St Apt 9E
North Haven, CT 06473-3141
Phone (616) 293-5420
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 |
|---|---|---|---|
| 2041 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1407501406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 STATE ST APT 9E",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064733141",
"telephone_number": "616-293-5420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LANSDALE AVE UNIT M",
"city": "MILFORD",
"state": "CT",
"postal_code": "064605157",
"telephone_number": "616-293-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSSEN",
"first_name": "AUTUMN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-17",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "2041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.