Organization Active NPI

Michelle Bussolotti, LMFT

  • Marriage & Family Therapist
  • Groton, CT
National Provider Identifier
1730400318
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001284 Issued in CT
Legal business name
MICHELLE BUSSOLOTTI, LMFT
Practice address
481 Gold Star Hwy
Groton, CT 06340-6702
Phone
(860) 961-4951
Fax
(860) 405-0563
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Michelle A Bussolotti, LMFTNPI 1215001243
Title
Owner
Phone
(860) 961-4951

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 001284 CT Primary

Addresses

Primary practice location

481 Gold Star Hwy
Groton, CT 06340-6702

Mailing address

2 Briar Hill Dr
Old Lyme, CT 06371-1847
Phone (860) 961-4951

National Provider Directory

National Provider Directory

Locations

481 Gold Star Hwy
Groton, CT 06340
Phone (860) 405-0490

Practitioners & affiliated clinicians

Practitioners 1

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": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1730400318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRIAR HILL DR",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711847",
            "telephone_number": "860-961-4951",
            "fax_number": "860-405-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 GOLD STAR HWY",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406702",
            "telephone_number": "860-961-4951",
            "fax_number": "860-405-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE BUSSOLOTTI, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "BUSSOLOTTI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-961-4951",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.