Active NPI
Optimal Outcomes Therapy PLLC
- Marriage & Family Therapist
- Riverside, CT
National Provider Identifier
1649010034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
- Last updated
- May 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Progano
- Title
- Agent
- Phone
- (203) 969-4654
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
36 Lake Dr S
Riverside, CT 06878-2024
Mailing address
36 Lake Dr S
Riverside, CT 06878-2024
Phone (312) 405-0140
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Westport, CT
- NPI 1255171773
-
- Marriage & Family Therapist
- Riverside, CT
- NPI 1962242594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.