Organization Active NPI

Optimal Outcomes Therapy PLLC

  • Marriage & Family Therapist
  • Riverside, CT
National Provider Identifier
1649010034
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 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
Last updated
May 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Ashley ProganoNPI 1255171773
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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.