Debra L Tomaselli, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001558 Issued in CT

Practice address

2296 Main Street
2ND Floor
Stratford, CT 06615

Phone

(203) 645-1677

Fax

(203) 377-4946

NPI assigned

Aug 19, 2013

Last updated

Aug 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Debra L. Tomaselli, LMFT, LLC

  • Marriage & Family Therapist
  • Stratford, CT
  • NPI 1205250586
  NPD (past) Authorized official

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1417380981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 MAIN STREET",
            "address_2": "2ND FLOOR",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06615",
            "telephone_number": "203-645-1677",
            "fax_number": "203-377-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 MAIN STREET",
            "address_2": "2ND FLOOR",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06615",
            "telephone_number": "203-645-1677",
            "fax_number": "203-377-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASELLI",
        "first_name": "DEBRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Town of Stratford
• Town of Stratford (Stratford Health Department)
• Town of Stratford Health Dept. (Wooster School Based Health Center)

• Marriage & Family Therapist in Stratford, CT
• Providers in Stratford, 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 Aug 18, 2014; 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.