Telehaven LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TELEHAVEN LLC

Practice address

3013 Dixwell Ave
Hamden, CT 06518-3527

Phone

(816) 262-5649

NPI assigned

Jul 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Carrissa Phipps, PHD

Title

Co-Founder

Phone

(816) 262-5649

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1548878663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183527",
            "telephone_number": "816-262-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEHAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "CARRISSA",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "816-262-5649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Tarifi
• Wendy Tatham, PTA
• Ashley Tatro, LMSW
• Mark Taylor, MD
• Ted Strayer DO PC
• Louis A. Telesford, M.D.
• Enrique J Tello, MD
• Temple P. T. & Life Sciences
• Temple P.T. & Life Sciences
• Brian Tenenhaus, PT

• Clinical Social Worker in Hamden, CT
• Providers in Hamden, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.