Organization Active NPI

Guy Orly

  • Marriage & Family Therapist
  • Westport, CT
National Provider Identifier
1649631185
Registry record updated Aug 19, 2016
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Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1799 Issued in CT
Legal business name
GUY ORLY
Practice address
4 Tranquility LN
Westport, CT 06880-5032
Phone
(203) 858-8589
NPI assigned
Mar 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Mr. Guy Orly
Title
Clinician
Phone
(203) 858-8589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 1799 CT Primary

Addresses

Primary practice location

4 Tranquility LN
Westport, CT 06880-5032

Mailing address

4 Tranquility LN
Westport, CT 06880-5032
Phone (203) 858-8589

Other identifiers 1

IdentifierTypeStateIssuer
004069985MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1649631185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TRANQUILITY LN",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805032",
            "telephone_number": "203-858-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TRANQUILITY LN",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805032",
            "telephone_number": "203-858-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY ORLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "ORLY",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "203-858-8589",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004069985",
            "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 Aug 19, 2016; 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.