Individual provider Active NPI

Nancy Ciavaglia, LMFT

  • Marriage & Family Therapist
  • Norwich, CT
National Provider Identifier
1548313778
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000817 Issued in CT
Practice address
72 New London Tpke
Norwich, CT 06360-2614
Phone
(860) 886-8122
Fax
(860) 889-7255
NPI assigned
Jan 19, 2007
Last updated
Feb 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000817 CT Primary

Addresses

Primary practice location

72 New London Tpke
Norwich, CT 06360-2614

Mailing address

511 New London Tpke
Norwich, CT 06360-6552
Phone (860) 886-9324

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000817CTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Physical Therapy of Southern New England LLC Past Accepting new patients
Select Behavioral Health, LLC PastSince Jan 1, 1999 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1548313778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 NEW LONDON TPKE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606552",
            "telephone_number": "860-886-9324",
            "fax_number": "860-886-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 NEW LONDON TPKE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602614",
            "telephone_number": "860-886-8122",
            "fax_number": "860-889-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAVAGLIA",
        "first_name": "NANCY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.