Active NPI
Patricia Dympna Ford, LCACD, CCDP
- Mental Health Counselor
- Darien, CT
National Provider Identifier
1700048162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 00606
- Practice address
- 10 Corbin Dr
Suite 4
Darien, CT 06820-5403 - Phone
- (203) 662-1111
- Fax
- (203) 655-0023
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00606 | CT | Primary |
Addresses
Primary practice location
10 Corbin Dr
Suite 4
Darien, CT 06820-5403
Mailing address
10 Corbin Dr
Suite 4
Darien, CT 06820-5403
Phone (203) 662-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00606 | CT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1700048162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CORBIN DR",
"address_2": "SUITE 4",
"city": "DARIEN",
"state": "CT",
"postal_code": "068205403",
"telephone_number": "203-662-1111",
"fax_number": "203-655-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CORBIN DR",
"address_2": "SUITE 4",
"city": "DARIEN",
"state": "CT",
"postal_code": "068205403",
"telephone_number": "203-662-1111",
"fax_number": "203-655-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "PATRICIA",
"middle_name": "DYMPNA",
"name_prefix": "Mrs.",
"credential": "LCACD, CCDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "00606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darien, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.