Active NPI
Alfred James Joyell, LMFT LICENSED MARRIA
- Marriage & Family Therapist
- Waterbury, CT
National Provider Identifier
1760570907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000169
- Practice address
- 1078 West Main Street
Waterbury, CT 05708-2651 - Phone
- (203) 753-8336
- Fax
- (203) 753-7618
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000169 | CT | Primary |
Addresses
Primary practice location
1078 West Main Street
Waterbury, CT 05708-2651
Mailing address
1078 West Main Street
Waterbury, CT 05708-2651
Phone (203) 753-8336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410000169CT01 | Other | CT | ANTHEM BCBS OF CT |
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 |
|---|---|---|---|
| 000169 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760570907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1078 WEST MAIN STREET",
"city": "WATERBURY",
"state": "CT",
"postal_code": "057082651",
"telephone_number": "203-753-8336",
"fax_number": "203-753-7618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1078 WEST MAIN STREET",
"city": "WATERBURY",
"state": "CT",
"postal_code": "057082651",
"telephone_number": "203-753-8336",
"fax_number": "203-753-7618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOYELL",
"first_name": "ALFRED",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LMFT LICENSED MARRIA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "000169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF CT",
"identifier": "410000169CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.