Individual provider Active NPI

Douglas Romney Barile, LMFT

  • Marriage & Family Therapist
  • Ridgefield, CT
National Provider Identifier
1649555160
Registry record updated Oct 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001462 Issued in CT
Practice address
158 Danbury Rd
Ridgefield, CT 06877-3227
Phone
(203) 948-4940
NPI assigned
Oct 16, 2011
Last updated
Oct 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001462 CT Primary

Addresses

Primary practice location

158 Danbury Rd
Ridgefield, CT 06877-3227

Mailing address

34 Market St
Ridgefield, CT 06877-5020
Phone (203) 894-1648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827002729 CT Practitioner - Marriage and Family Therapist 1658810221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgefield Youth Service Bureau IncGroup PAC ID 1658816723, 2 clinicians

Practice addresses (Care Compare)

66 Prospect St
Ridgefield, CT 06877-4621
Phone (860) 388-7838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001462CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgefield Youth Service Bureau Inc Marriage & Family Therapist CurrentSince May 19, 2024 Accepting new patients

Locations

66 Prospect St
Ridgefield, CT 06877
Phone (203) 409-1760

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318723200000",
    "number": "1649555160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MARKET ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068775020",
            "telephone_number": "203-894-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 DANBURY RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773227",
            "telephone_number": "203-948-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARILE",
        "first_name": "DOUGLAS",
        "middle_name": "ROMNEY",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-16",
        "last_updated": "2011-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.