Active NPI
Elizabeth Feteris
- Behavior Technician
- Colchester, CT
National Provider Identifier
1508432113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 336 Halls Hill Rd
Colchester, CT 06415-1452 - Phone
- (860) 980-3233
- NPI assigned
- Jun 3, 2021
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CT | Primary |
Addresses
Primary practice location
336 Halls Hill Rd
Colchester, CT 06415-1452
Mailing address
4 Broadway Avenue Ext Ste 3
Mystic, CT 06355-2875
Phone (860) 980-3233
Other practice location 1
4 Broadway Avenue Ext Ste 3
Mystic, CT 06355-2875
Phone (860) 980-3233
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": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1508432113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BROADWAY AVENUE EXT STE 3",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063552875",
"telephone_number": "860-980-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 HALLS HILL RD",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "064151452",
"telephone_number": "860-980-3233"
}
],
"practiceLocations": [
{
"address_1": "4 Broadway Avenue Ext Ste 3",
"address_purpose": "LOCATION",
"city": "Mystic",
"state": "CT",
"postal_code": "063552875",
"country_code": "US",
"telephone_number": "860-980-3233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FETERIS",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.