NPIMap

Organization Active NPI

Community Renewal Team

Doing business as judith g hunt lmft

  • Marriage & Family Therapist
  • Bloomfield, CT
National Provider Identifier
1629145065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000586 Issued in CT
Legal business name
COMMUNITY RENEWAL TEAM
Doing business as
judith g hunt lmft
Practice address
11 Mountain Ave
Suite204
Bloomfield, CT 06002-2343
Phone
(860) 286-0528
Fax
(860) 286-0585
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lena Rodriquez
Title
Ceo
Phone
(860) 714-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 000586 CT Primary

Addresses

Primary practice location

11 Mountain Ave
Suite204
Bloomfield, CT 06002-2343

Mailing address

11 Mountain Ave
Suite204
Bloomfield, CT 06002-2343
Phone (860) 286-0528

Other identifiers 1

IdentifierTypeStateIssuer
1629145065OtherCT106H00000X

Other names 1

  • judith g hunt lmft Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Renewal Team7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11 Mountain Ave
Ste 204
Bloomfield, CT 06002
Phone (860) 286-0528

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629145065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MOUNTAIN AVE",
            "address_2": "SUITE204",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022343",
            "telephone_number": "860-286-0528",
            "fax_number": "860-286-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MOUNTAIN AVE",
            "address_2": "SUITE204",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022343",
            "telephone_number": "860-286-0528",
            "fax_number": "860-286-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RENEWAL TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIQUEZ",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-714-9200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "106H00000X",
            "identifier": "1629145065",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "judith g hunt lmft",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.