Art Therapy of Hamden LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001399 Issued in CT

Legal business name

ART THERAPY OF HAMDEN LLC

Practice address

2061 Whitney Ave
North Haven, CT 06473-4474

Phone

(203) 285-3053

Fax

(203) 907-4132

NPI assigned

Jun 27, 2016

Last updated

Sep 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margaret Josephine McGovern, LPCNPI 1215088646

Title

Director

Phone

(203) 285-3053

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Margaret Josephine McGovern, LPC, ATR-BC

  • Professional Counselor
  • North Haven, CT
  • NPI 1215088646
  NPD (past) Authorized official

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1669823191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 WHITNEY AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064734474",
            "telephone_number": "203-285-3053",
            "fax_number": "203-907-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 WHITNEY AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064734474",
            "telephone_number": "203-285-3053",
            "fax_number": "203-907-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART THERAPY OF HAMDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "JOSEPHINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-285-3053",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in North Haven, CT
• Providers in North Haven, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.