Optimal Outcomes Therapy PLLC

Key facts

NPI

1649010034

Entity type

Organization (NPI type 2)

Primary specialty

Marriage & Family Therapist 106H00000X

Legal business name

OPTIMAL OUTCOMES THERAPY PLLC

Practice address

36 Lake Dr S
Riverside, CT 06878-2024

Phone

(312) 405-0140

NPI assigned

May 31, 2024

Organization subpart

No

Authorized official

Name

Ashley Progano

Title

Agent

Phone

(203) 969-4654

Practitioners 1

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

• Jill Talbot Marriage & Family Therapist · Riverside, CT · NPI 1962242594
  NPD MARRIAGE & FAMILY THERAPIST

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 31, 2024.

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1649010034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 LAKE DR S",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068782024",
            "telephone_number": "312-405-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 LAKE DR S",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068782024",
            "telephone_number": "312-405-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL OUTCOMES THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "PROGANO",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "203-969-4654"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CT

• Michael May, P.T. ,D.P.T.
• Chandani Mendpara
• Lucas Mogensen, DPT
• Nihon Shika Group
• Elizabeth Daneker O'Donnell, PH.D.
• Emily Orenstein, LMSW
• Victor Arthur Pardi, DDS
• Pensarc LLC
• Valeria Del Carmen Prado, LPC
• Prabhakar Reddy, MD

All providers in Riverside, CT · Marriage & Family Therapist in Connecticut