Active NPI
Leon Tec
- Community/Behavioral Health Agency
- Westport, CT
National Provider Identifier
1649417510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 09529
- Legal business name
- LEON TEC
- Practice address
- 11 Rockyfield Rd
Westport, CT 06880-2202 - Phone
- (203) 227-1331
- Fax
- (203) 227-2439
- NPI assigned
- Jan 14, 2009
- 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
- Mrs. Sophia B Carlsson
- Title
- Medical Biller
- Phone
- (203) 322-1479
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 09529 | CT | Primary |
Addresses
Primary practice location
11 Rockyfield Rd
Westport, CT 06880-2202
Mailing address
11 Rockyfield Rd
Westport, CT 06880-2202
Phone (203) 227-1331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260000153 | Other | CT | 060862585 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231891200000",
"number": "1649417510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ROCKYFIELD RD",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068802202",
"telephone_number": "203-227-1331",
"fax_number": "203-227-2439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 ROCKYFIELD RD",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068802202",
"telephone_number": "203-227-1331",
"fax_number": "203-227-2439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEON TEC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-14",
"last_updated": "2009-01-14",
"status": "A",
"authorized_official_last_name": "CARLSSON",
"authorized_official_first_name": "SOPHIA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MEDICAL BILLER",
"authorized_official_telephone_number": "203-322-1479",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CT",
"license": "09529",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "060862585",
"identifier": "260000153",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.