Active NPI
Trans Pham
- Marriage & Family Therapist
- Cromwell, CT
National Provider Identifier
1497379739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 27 Coles Rd
Cromwell, CT 06416-2606 - Phone
- (860) 404-5501
- NPI assigned
- Jun 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | CT | Primary |
Addresses
Primary practice location
27 Coles Rd
Cromwell, CT 06416-2606
Mailing address
90 Brainard Rd Ste 105
Hartford, CT 06114-1687
Phone (860) 404-5501
Other practice location 1
104 Gillett St
Hartford, CT 06105-2629
Phone (860) 404-5501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1497379739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 BRAINARD RD STE 105",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061141687",
"telephone_number": "860-404-5501",
"fax_number": "860-470-3286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 COLES RD",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064162606",
"telephone_number": "860-404-5501"
}
],
"practiceLocations": [
{
"address_1": "104 Gillett St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061052629",
"country_code": "US",
"telephone_number": "860-404-5501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "TRANS",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-02",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.