Children'S Behavioral Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002599 Issued in CT

Legal business name

CHILDREN'S BEHAVIORAL THERAPY, LLC

Practice address

104 Blueridge Drive Ext
Waterbury, CT 06704-6122

Phone

(917) 621-7360

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Eliezer Sontag

Title

Member

Phone

(917) 621-7360

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1679959415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BLUERIDGE DRIVE EXT",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067046122",
            "telephone_number": "917-621-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BLUERIDGE DRIVE EXT",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067046122",
            "telephone_number": "917-621-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S BEHAVIORAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "SONTAG",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-621-7360"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "002599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• York Lin Chew, MD
• Manik Chhabra, MD
• David Chia, MD
• Child & Adolescent Health Care
• Child and Adult Psychiatric Services PC
• Tishtar Vispi Chindhy
• Andrea Chiovitti, CRNA
• Tanya Chirsky
• Aditi Reddy Chittety, M.D.
• Min Gyeong Choi, MD

• Mental Health Counselor in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.