Organization Active NPI

Institute for Educational Planning

  • Psychologist
  • Milford, CT
National Provider Identifier
1457554644
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
002762 Issued in CT
Legal business name
INSTITUTE FOR EDUCATIONAL PLANNING
Practice address
243 Broad Street
Suite 7a
Milford, CT 06460
Phone
(203) 876-5917
Fax
(203) 876-5919
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Erik Andrew Mayville, PHD
Title
Clinical Psychologist
Phone
(203) 876-5917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 002762 CT Primary

Addresses

Primary practice location

243 Broad Street
Suite 7a
Milford, CT 06460

Mailing address

243 Broad Street
Suite 7a
Milford, CT 06460
Phone (203) 876-5917

National Provider Directory

National Provider Directory

Locations

243 Broad St
Ste 7A
Milford, CT 06460
Phone (203) 876-5917

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457554644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 BROAD STREET",
            "address_2": "SUITE 7A",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-876-5917",
            "fax_number": "203-876-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 BROAD STREET",
            "address_2": "SUITE 7A",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-876-5917",
            "fax_number": "203-876-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR EDUCATIONAL PLANNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYVILLE",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "203-876-5917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002762",
            "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 Aug 22, 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.