NPIMap

Organization Active NPI

Milestones Behavioral Services, Inc.

  • Psychologist
  • Orange, CT
National Provider Identifier
1700324159
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3560 Issued in CT
Legal business name
MILESTONES BEHAVIORAL SERVICES, INC.
Practice address
339 Boston Post Rd
Orange, CT 06477-3560
Phone
(203) 882-8810
Fax
(203) 878-9469
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Mr. Roger Alan Letso, MBA
Title
Chief Financial Officer
Phone
(203) 882-8810

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 01-03-1119 CT
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 3560 CT Primary
Assistant Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106E00000X 0-15-6909 CT
Behavior TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106S00000X RBT-15-08925 CT

Addresses

Primary practice location

339 Boston Post Rd
Orange, CT 06477-3560

Mailing address

95 Wolf Harbor Rd
Milford, CT 06461-1938
Phone (203) 882-8810

Other names 1

  • Connecticut Center for Child Development, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Connecticut Center for Child Development Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

95 Wolf Harbor Rd
Milford, CT 06461
Phone (203) 882-8439

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1700324159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WOLF HARBOR RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064611938",
            "telephone_number": "203-882-8810",
            "fax_number": "203-878-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773560",
            "telephone_number": "203-882-8810",
            "fax_number": "203-878-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES BEHAVIORAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "LETSO",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-882-8810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "01-03-1119",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CT",
            "license": "3560",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "CT",
            "license": "0-15-6909",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "CT",
            "license": "RBT-15-08925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connecticut Center for Child Development, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.