Linda B Domenitz

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

LINDA B DOMENITZ

Practice address

21 Wyndwood Rd
West Hartford, CT 06107-1144

Phone

(860) 966-9718

NPI assigned

Jul 11, 2019

Organization subpart

No

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

Authorized official

Name

Linda Domenitz, LMFTNPI 1942526116

Title

Owner

Phone

(860) 966-9718

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Linda B Domenitz, LMFT

  • Marriage & Family Therapist
  • West Hartford, CT
  • NPI 1942526116
  NPD Authorized official

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1487206272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ISLAND BLVD APT 701",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331605606",
            "telephone_number": "860-966-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WYNDWOOD RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071144",
            "telephone_number": "860-966-9718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Pelican Point Dr Apt Ha114",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342316730",
            "country_code": "US",
            "telephone_number": "860-966-9718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LINDA B DOMENITZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "DOMENITZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-966-9718",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in West Hartford, CT
• Providers in West Hartford, 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 Jan 4, 2024; 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.