Organization Active NPI

Family Strong CT

  • Behavior Analyst
  • Southbury, CT
National Provider Identifier
1487034641
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-10033 Issued in CT
Legal business name
FAMILY STRONG CT
Practice address
49 Peter Rd
Southbury, CT 06488-2681
Phone
(203) 267-4455
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Sara Brown-Surmolian
Title
President
Phone
(203) 267-4455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-12-10033 CT Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

49 Peter Rd
Southbury, CT 06488-2681

Mailing address

49 Peter Rd
Southbury, CT 06488-2681
Phone (203) 267-4455

National Provider Directory

National Provider Directory

Locations

49 Peter Rd
Southbury, CT 06488
Phone (203) 267-4455

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1487034641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PETER RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882681",
            "telephone_number": "203-267-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PETER RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882681",
            "telephone_number": "203-267-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY STRONG CT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "BROWN-SURMOLIAN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-267-4455"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-12-10033",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.