Brain Mind Body Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008202 Issued in CT

Legal business name

BRAIN MIND BODY PSYCHOTHERAPY, LLC

Practice address

177 Post Rd W Ste 1
Westport, CT 06880-4652

Phone

(203) 293-4395

NPI assigned

Feb 22, 2014

Organization subpart

No

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

Authorized official

Name

Mariana Fraga-Zapf, LCSWNPI 1982045670

Title

Psychotherapist

Phone

(203) 293-4395

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariana Fraga-Zapf, LCSW

  • Clinical Social Worker
  • Southport, CT
  • NPI 1982045670
  NPD (past) Authorized official

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

{
    "created_epoch": "1393027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1487079885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STEEP HILL RD",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068831731",
            "telephone_number": "203-557-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 POST RD W STE 1",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804652",
            "telephone_number": "203-293-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN MIND BODY PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-22",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "FRAGA-ZAPF",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "203-293-4395",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008202",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Boucher, BCBA
• Lindsay Boudreau, LPC
• Martha Boulton, APRN, BC, MS, MSN
• William Heard Boyd
• Eleanor Grace Bradley, LCSW
• Eric Lee Bran, O.D.
• Branches of Hope, Inc.
• Aliza Lynn Brant, APRN
• Lori Estelle Breiner, D.C.
• Jennifer E Brennan, LCSW

• Clinical Social Worker in Westport, CT
• Providers in Westport, 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 5, 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.