Walter Van Sambeck

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

000493 Issued in CT

Legal business name

WALTER VAN SAMBECK

Practice address

244 S Main St
Colchester, CT 06415-1405

Phone

(860) 537-3977

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Walter Johannes Van SambeckNPI 1437218823

Title

Owner

Phone

(860) 537-3977

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Connecticut Center for Human Growth& Dev. Doing business as

Locations

Practitioners 1

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

• Walter Van Sambeck, DIPL. PSYCH.

  • Addiction (Substance Use Disorder) Counselor
  • Colchester, CT
  • NPI 1437218823
  NPD (past) Authorized official

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1538342829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 S MAIN ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151405",
            "telephone_number": "860-537-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 S MAIN ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151405",
            "telephone_number": "860-537-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER VAN SAMBECK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "VAN SAMBECK",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "JOHANNES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-537-3977"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000493",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000493",
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "CT",
            "license": "023879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437218823",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275632994",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connecticut Center for Human Growth& Dev.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walter Van Sambeck, DIPL. PSYCH.
• Mackenzie Vigil, LCSW
• Cassandra Ann Vigue, RD
• Allison Nicole Wagner, DPT
• Walgreen Co
• Denise Ward, PT
• Brenda Cote Webster, PTA
• Rebecca Wengloski, PTA
• Westchester Eye Care
• Westchester Family Dental

• Professional Counselor in Colchester, CT
• Providers in Colchester, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.