Organization Active NPI

Lotus Psychotherapy of Fairfield County, PLLC

  • Community/Behavioral Health Agency
  • Darien, CT
National Provider Identifier
1558879338
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
008763 Issued in CT
Legal business name
LOTUS PSYCHOTHERAPY OF FAIRFIELD COUNTY, PLLC
Practice address
6 Thorndal Cir
Darien, CT 06820-5415
Phone
(203) 536-7005
NPI assigned
Jan 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Authorized official

Name
Ms. Amy Grimaldi, LCSW
Title
Therapist
Phone
(203) 536-7005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 008763 CT Primary

Addresses

Primary practice location

6 Thorndal Cir
Darien, CT 06820-5415

Mailing address

6 Thorndal Cir
Darien, CT 06820-5415
Phone (203) 536-7005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1558879338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 THORNDAL CIR",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205415",
            "telephone_number": "203-536-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 THORNDAL CIR",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205415",
            "telephone_number": "203-536-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS PSYCHOTHERAPY OF FAIRFIELD COUNTY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "GRIMALDI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "203-536-7005",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "008763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.