The Connecticut Center for Child Develpment

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

THE CONNECTICUT CENTER FOR CHILD DEVELPMENT

Practice address

925 Bridgeport Ave
Milford, CT 06460-3142

Phone

(203) 882-8810

Fax

(203) 878-9468

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Suzanne Letso, BCBA

Title

Chief Exectutive Officer

Phone

(203) 882-8810

Specialties & licenses 1

Addresses

Tax ID family

Connecticut Center for Child Development Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Milestones Behavioral Services, Inc.

  • Psychologist
  • Orange, CT
  • NPI 1700324159
  NPD tax ID

Locations

Practitioners 1

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

• Judith Palazzo

  • Behavior Analyst
  • Orange, CT
  • NPI 1689133282
  NPD (past)

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1548437387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 BRIDGEPORT AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603142",
            "telephone_number": "203-882-8810",
            "fax_number": "203-878-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BRIDGEPORT AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603142",
            "telephone_number": "203-882-8810",
            "fax_number": "203-878-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CONNECTICUT CENTER FOR CHILD DEVELPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "LETSO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CHIEF EXECTUTIVE OFFICER",
        "authorized_official_telephone_number": "203-882-8810",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual & Developmental Disabilities Psychologist in Milford, CT
• Providers in Milford, CT by specialty
• Intellectual & Developmental Disabilities Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.