NPIMap

Organization Active NPI

Judith E. Gotlieb, LMFT

  • Marriage & Family Therapist
  • Wilton, CT
National Provider Identifier
1508256397
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001487 Issued in CT
Legal business name
JUDITH E. GOTLIEB, LMFT
Practice address
62 Cobbs Mill Rd
Wilton, CT 06897-3633
Phone
(203) 834-1012
NPI assigned
Jan 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Judith Gotlieb, LMFT
Title
Private Practice
Phone
(203) 834-1012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 001487 CT Primary

Addresses

Primary practice location

62 Cobbs Mill Rd
Wilton, CT 06897-3633

Mailing address

62 Cobbs Mill Rd
Wilton, CT 06897-3633
Phone (203) 834-1012

National Provider Directory

National Provider Directory
Tax ID family
Judith E Gotlieb2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1508256397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 COBBS MILL RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973633",
            "telephone_number": "203-834-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 COBBS MILL RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973633",
            "telephone_number": "203-834-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH E. GOTLIEB, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "GOTLIEB",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRIVATE PRACTICE",
        "authorized_official_telephone_number": "203-834-1012",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.