NPIMap

Organization Active NPI

Family Resource and Development Center, LLC

  • Marriage & Family Therapist
  • West Hartford, CT
National Provider Identifier
1508192725
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000859 Issued in CT
Legal business name
FAMILY RESOURCE AND DEVELOPMENT CENTER, LLC
Practice address
41 N Main St
303
West Hartford, CT 06107-1972
Phone
(860) 838-4735
Fax
(860) 461-1514
NPI assigned
Oct 22, 2009
Last updated
Jun 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Daniel Weiner, MA LPCNPI 1700929080
Title
Psychotherapist
Phone
(860) 677-0028

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000361 CT
Clinical Social Worker 1041C0700X 005336 CT
Marriage & Family Therapist 106H00000X 000859 CT Primary

Addresses

Primary practice location

41 N Main St
303
West Hartford, CT 06107-1972

Mailing address

41 N Main St
303
West Hartford, CT 06107-1972
Phone (860) 838-4735

National Provider Directory

National Provider Directory

Locations

41 N Main St
Ste 303
West Hartford, CT 06107
Phone (860) 604-8119

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1508192725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N MAIN ST",
            "address_2": "303",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071972",
            "telephone_number": "860-838-4735",
            "fax_number": "860-461-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N MAIN ST",
            "address_2": "303",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071972",
            "telephone_number": "860-838-4735",
            "fax_number": "860-461-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESOURCE AND DEVELOPMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "860-677-0028",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "000361",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005336",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.