Shoreline Therapy Center of Southeast CT LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SHORELINE THERAPY CENTER OF SOUTHEAST CT LLC

Practice address

929 Boston Post Rd Ste 4
Old Saybrook, CT 06475-2143

Phone

(203) 453-2999

NPI assigned

Mar 24, 2025

Organization subpart

No

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

Authorized official

Name

Alexander Klein, LCSW

Title

Executive Director

Phone

(203) 453-2999

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jacob Zoubek

  • Marriage & Family Therapist
  • New Haven, CT
  • NPI 1518585975
  NPD

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1518769488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 BOSTON POST RD STE 4",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BOSTON POST RD STE 4",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752143",
            "telephone_number": "203-453-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE THERAPY CENTER OF SOUTHEAST CT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-453-2999",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Weston Shobe, LCSW
• Shoreline Digestive Health Center
• Shoreline Modern Dental LLC
• Shoreline Oral & Maxillofacial Surgeons, PC
• Shoreline Pediatric Neuropsychological Services, LLC
• David J Sliva, DMD
• Heather Slocombe, RDH
• Angela Menta Snelling, MA LPC
• Sound View Behavioral Health,LLC
• Elizabeth St. Louis, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.