NPIMap

Organization Active NPI

Saybrook Center LLC

Doing business as Saybrook Counseling Center

  • Mental Health Counselor
  • Old Saybrook, CT
National Provider Identifier
1730336439
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000175 Issued in CT
Legal business name
SAYBROOK CENTER LLC
Doing business as
Saybrook Counseling Center
Practice address
841 Middlesex Tpke
Old Saybrook, CT 06475-1317
Phone
(860) 395-0111
Fax
(860) 395-1264
NPI assigned
Aug 25, 2008
Last updated
Aug 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Cynthia Matthew, PHDNPI 1497852644
Title
Executive Director
Phone
(860) 395-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000175 CT Primary

Addresses

Primary practice location

841 Middlesex Tpke
Old Saybrook, CT 06475-1317

Mailing address

841 Middlesex Tpke
Old Saybrook, CT 06475-1317
Phone (860) 395-0111

Other names 1

  • Saybrook Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

123 Elm St
Ste 1000
Old Saybrook, CT 06475
Phone (860) 395-0111

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1730336439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 MIDDLESEX TPKE",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751317",
            "telephone_number": "860-395-0111",
            "fax_number": "860-395-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 MIDDLESEX TPKE",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751317",
            "telephone_number": "860-395-0111",
            "fax_number": "860-395-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAYBROOK CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "MATTHEW",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-395-0111",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "000175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saybrook Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.