Active NPI
Reuven Abraham Clein, LPC
- Mental Health Counselor
- Waterford, CT
National Provider Identifier
1518064492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001532
- Practice address
- 567 Vauxhall Street Ext
Suite 323
Waterford, CT 06385-4330 - Phone
- (860) 447-9274
- Fax
- (860) 447-9900
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001532 | CT | Primary |
Addresses
Primary practice location
567 Vauxhall Street Ext
Suite 323
Waterford, CT 06385-4330
Mailing address
112 Rope Ferry Rd
Waterford, CT 06385-2620
Phone (860) 437-7567
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001532 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518064492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 ROPE FERRY RD",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063852620",
"telephone_number": "860-437-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 VAUXHALL STREET EXT",
"address_2": "SUITE 323",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063854330",
"telephone_number": "860-447-9274",
"fax_number": "860-447-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEIN",
"first_name": "REUVEN",
"middle_name": "ABRAHAM",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "001532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, CT
- Nauman Chaudhry, M.D.
- Child and Family Agency of Southeastern Connecticut, Inc.
- Elizabeth Faith Christian, AU.D.
- Vincent Cianciulli, DMD
- Maryann Elizabeth Clausen
- Coastal Behavioral Health
- Coastal Connecticut Dentistry, LLC
- Cohens Fashion Optical
- Cole Vision Corporation (Sears Optical #C0681)
- Patrick Coley, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.