Individual provider Active NPI

Brittany Parker, MFTA

  • Marriage & Family Therapist
  • Guilford, CT
National Provider Identifier
1710658059
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
27.002524-ASOC Issued in CT
Practice address
2415 Boston Post Rd
Guilford, CT 06437-4348
Phone
(203) 974-2137
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 27.002524-ASOC CT Primary

Addresses

Primary practice location

2415 Boston Post Rd
Guilford, CT 06437-4348

Mailing address

645 Green Hill Rd
Madison, CT 06443-2482
Phone (203) 974-2173

Other identifiers 1

IdentifierTypeStateIssuer
27.002524-ASOCOtherCTDEPARTMENT OF PUBLIC HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brittany.parker@shorelinepbh.com Direct

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

LicenseStateTypeSpecialty
27.002524-ASOCCTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1710658059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 GREEN HILL RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432482",
            "telephone_number": "203-974-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 BOSTON POST RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374348",
            "telephone_number": "203-974-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BRITTANY",
        "name_prefix": "Ms.",
        "credential": "MFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "27.002524-ASOC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "27.002524-ASOC",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brittany.parker@shorelinepbh.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2415 Boston Post Rd",
            "city": "Guilford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064374348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.