Organization Active NPI

Frederique Shea, LMFT, LLC

  • Marriage & Family Therapist
  • Hartford, CT
National Provider Identifier
1639430937
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001490 Issued in CT
Legal business name
FREDERIQUE SHEA, LMFT, LLC
Practice address
660 Prospect Ave
Hartford, CT 06105-4230
Phone
(860) 713-4654
NPI assigned
Jun 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
Frederique Shea, MA
Title
Licensed Marriage and Family Therap
Phone
(860) 713-4654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 001490 CT Primary

Addresses

Primary practice location

660 Prospect Ave
Hartford, CT 06105-4230

Mailing address

325 N Quaker LN
West Hartford, CT 06119-1036
Phone (860) 713-4654

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1639430937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N QUAKER LN",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191036",
            "telephone_number": "860-713-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 PROSPECT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054230",
            "telephone_number": "860-713-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIQUE SHEA, LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "FREDERIQUE",
        "authorized_official_title_or_position": "LICENSED MARRIAGE AND FAMILY THERAP",
        "authorized_official_telephone_number": "860-713-4654",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.