Interface Center Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002524 Issued in CT

Legal business name

INTERFACE CENTER INC

Practice address

46 Danbury Rd
Suite 6
New Milford, CT 06776

Phone

(860) 354-1596

Fax

(860) 350-2189

NPI assigned

Oct 23, 2006

Last updated

Mar 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie A McNally

Title

Office Manager

Phone

(860) 354-1596

Specialties & licenses 9

Addresses

Other identifiers 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Lynn Berran, LMFT

  • Marriage & Family Therapist
  • Bethel, CT
  • NPI 1093882508
  NPD
• Rachel Lebetkin, LPC

  • Professional Counselor
  • Bethel, CT
  • NPI 1902438666

  Single Specialty

  NPD
• Jennifer Ralph, MS

  • Counselor
  • Danbury, CT
  • NPI 1639552524
  NPD
• Patricia A Robinson, LPC

  • Professional Counselor
  • New Milford, CT
  • NPI 1639446040
  NPD
• Thomas Martin Foster, LCSW

  • Clinical Social Worker
  • Carmel, NY
  • NPI 1023274495
  NPD
• Kathy Engle-Dulac, LMSW

  • Clinical Social Worker
  • Oakville, CT
  • NPI 1316836950
  NPD (past)
• Jessica Listorti, PMHNP

  • Psychiatry Physician
  • Bloomfield, CT
  • NPI 1275177404
  NPD (past)
• Jordan Palmer

  • Professional Counselor
  • Torrington, CT
  • NPI 1992401293
  NPD (past)
• Cheryl Lynn Reiner, LCSW

  • Clinical Social Worker
  • Sandy Hook, CT
  • NPI 1952648925
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1417030651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 DANBURY RD",
            "address_2": "SUITE 6",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "06776",
            "telephone_number": "860-354-1596",
            "fax_number": "860-350-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 DANBURY RD",
            "address_2": "SUITE 6",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "06776",
            "telephone_number": "860-354-1596",
            "fax_number": "860-350-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFACE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "MCNALLY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-354-1596"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "000964",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001600",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002524",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002699",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "002524",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Home Health Pavilion Inc.
• Glenn Kenyon Hood, D.D.S.
• Ashle Brooke Hupchick, LADC LPC
• Hvra of New Milford, LLC
• Jessica M Ifshin, L.AC., DIPL. O.M.
• Interface Counseling, PLLC
• Iraj Rahmati MD PC
• Jean Darlene Irish, PH.D.
• Carly Rae Jacques, LCSW
• Jill Janeczk Rubbo

• Clinical Social Worker in New Milford, CT
• Providers in New Milford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.