Individual provider Active NPI

Christiane J. Maiorana, LMFT

  • Marriage & Family Therapist
  • Orange, CT
National Provider Identifier
1568702819
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
35 Old Tavern Rd
Orange, CT 06477-3450
Phone
(203) 553-9949
NPI assigned
Feb 25, 2013
Last updated
Dec 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1423 MA
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

35 Old Tavern Rd
Orange, CT 06477-3450

Mailing address

63 Ford St
Hamden, CT 06517-2538
Phone (203) 722-2256

Other practice location 1

12 Alfred St
suite 200
Woburn, MA 01801-1972
Phone (781) 646-0500 ext. 112

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holding Space PLLC Marriage & Family Therapist CurrentSince Jan 5, 2020 Accepting new patients

Organizations & group practices 1

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": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1568702819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FORD ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172538",
            "telephone_number": "203-722-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 OLD TAVERN RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773450",
            "telephone_number": "203-553-9949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Alfred St",
            "address_2": "suite 200",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "018011972",
            "country_code": "US",
            "telephone_number": "781-646-0500 x112",
            "fax_number": "781-646-7130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIORANA",
        "first_name": "CHRISTIANE",
        "middle_name": "J.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1423",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.