NPIMap

Organization Active NPI

Portland Youth Services

  • Mental Health Counselor
  • Portland, CT
National Provider Identifier
1568624088
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000967 Issued in CT
Legal business name
PORTLAND YOUTH SERVICES
Practice address
265 Main St
Portland, CT 06480-1857
Phone
(860) 342-6716
NPI assigned
Jun 26, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Chris M Napolitano, LMFT
Title
Marital and Family Therapist
Phone
(860) 342-6716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000967 CT Primary

Addresses

Primary practice location

265 Main St
Portland, CT 06480-1857

Mailing address

PO Box 71
Portland, CT 06480-0071

National Provider Directory

National Provider Directory
Tax ID family
Portland Board of Education2 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.

Locations

265 Main St
Portland, CT 06480
Phone (860) 342-6716

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1568624088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064800071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MAIN ST",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801857",
            "telephone_number": "860-342-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "NAPOLITANO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MARITAL AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "860-342-6716",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "000967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.