NPIMap

Organization Active NPI

CT Cranial Prosthesis Specialist

  • Prosthetist
  • Derby, CT
National Provider Identifier
1497453591
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
CT CRANIAL PROSTHESIS SPECIALIST
Practice address
35 Fairview Ter
Derby, CT 06418-1414
Phone
(203) 360-3446
NPI assigned
Feb 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Paule Bien-AimeNPI 1821662909
Title
Owner
Phone
(203) 360-3446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 224P00000X Primary

Addresses

Primary practice location

35 Fairview Ter
Derby, CT 06418-1414

Mailing address

35 Fairview Ter
Derby, CT 06418-1414
Phone (203) 360-3446

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1497453591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 FAIRVIEW TER",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181414",
            "telephone_number": "203-360-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 FAIRVIEW TER",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181414",
            "telephone_number": "203-360-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT CRANIAL PROSTHESIS SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "BIEN-AIME",
        "authorized_official_first_name": "PAULE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-360-3446"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.