Organization Active NPI

Inner Oasis Psychotherapy

  • Professional Counselor
  • Meriden, CT
National Provider Identifier
1639936040
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
INNER OASIS PSYCHOTHERAPY
Practice address
114 Lydale PL
Meriden, CT 06450-6100
Phone
(860) 874-1284
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Mrs. Patricia A Ieraci, LPCNPI 1629709290
Title
Managing Partner
Phone
(860) 874-1284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

114 Lydale PL
Meriden, CT 06450-6100

Mailing address

114 Lydale PL
Meriden, CT 06450-6100

Other practice location 1

5 Sheraton Dr
Wolcott, CT 06716-2324
Phone (203) 558-1268

Other practice location 2

170 Glen View Ter
New Haven, CT 06515-1417
Phone (952) 484-2116

National Provider Directory

National Provider Directory

Practitioners 2

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": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1639936040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 LYDALE PL",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 LYDALE PL",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506100",
            "telephone_number": "860-874-1284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Sheraton Dr",
            "address_purpose": "LOCATION",
            "city": "Wolcott",
            "state": "CT",
            "postal_code": "067162324",
            "country_code": "US",
            "telephone_number": "203-558-1268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Glen View Ter",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065151417",
            "country_code": "US",
            "telephone_number": "952-484-2116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNER OASIS PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "IERACI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "860-874-1284",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.