Organization Active NPI

Wendy a McCaffery, LLC

  • Community/Behavioral Health Agency
  • Southport, CT
National Provider Identifier
1588937718
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
007628 Issued in CT
Legal business name
WENDY A MCCAFFERY, LLC
Practice address
178 Mill Hill Ter
Southport, CT 06890-1230
Phone
(203) 293-4305
Fax
(203) 842-2194
NPI assigned
Feb 19, 2012
Last updated
Aug 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Wendy Anne McCaffery, LCSW
Title
Psychotherapist
Phone
(203) 293-4305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 007628 CT Primary

Addresses

Primary practice location

178 Mill Hill Ter
Southport, CT 06890-1230

Mailing address

178 Mill Hill Ter
Southport, CT 06890-1230
Phone (203) 293-4305

National Provider Directory

National Provider Directory
Tax ID family
Wendy a McCaffery LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1329609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1588937718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 MILL HILL TER",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901230",
            "telephone_number": "203-293-4305",
            "fax_number": "203-842-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 MILL HILL TER",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901230",
            "telephone_number": "203-293-4305",
            "fax_number": "203-842-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY A MCCAFFERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-19",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "MCCAFFERY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "203-293-4305",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "007628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.