Terapia de Juego, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

001536 Issued in CT

Legal business name

TERAPIA DE JUEGO, LLC

Practice address

30 Myano LN
Suite 20
Stamford, CT 06902-4532

Phone

(220) 388-3813

Fax

(203) 883-8139

NPI assigned

Feb 26, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Louise Madelyn Tonning, LCSW

Title

Licensed Clinical Social Worker

Phone

(203) 883-8135

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1457711954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MYANO LN",
            "address_2": "SUITE 20",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024532",
            "telephone_number": "220-388-3813",
            "fax_number": "203-883-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MYANO LN",
            "address_2": "SUITE 20",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024532",
            "telephone_number": "220-388-3813",
            "fax_number": "203-883-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERAPIA DE JUEGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "TONNING",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "MADELYN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "203-883-8135",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001536",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "R071645",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008017104",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter J Tenicki, MD
• Isidore Tepler, MD
• Tepnel Lifecodes
• Stewart J. Tepper, M.D.
• Zachary Tepper, DO
• Iveta Terkosova
• Alexis Terzian, RMFTA
• Carolyn M Testa-Casino, MD
• Victoria Elizabeth Teti, DPM
• Manjila Thapa-Panth, OT

• Community/Behavioral Health Agency in Stamford, CT
• Providers in Stamford, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.