Carol Madden Winslow

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

000676 Issued in CT

Legal business name

CAROL MADDEN WINSLOW

Practice address

18 Myrock Ave
Waterford, CT 06385-3008

Phone

(860) 287-7203

NPI assigned

Sep 9, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Carol Madden Winslow, LMFT, LADCNPI 1023406006

Title

Owner

Phone

(860) 287-7203

Specialties & licenses 2

Addresses

Practitioners 1

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

• Carol Winslow

  • Mental Health Counselor
  • Waterford, CT
  • NPI 1023406006
  NPD (past) Authorized official

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1639570690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852423",
            "telephone_number": "860-287-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MYROCK AVE",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063853008",
            "telephone_number": "860-287-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL MADDEN WINSLOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "WINSLOW",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "MADDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-287-7203",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT, LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "000676",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "000838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Waterford, CT
• Providers in Waterford, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.