Organization Active NPI

Nalej of Self

  • Community/Behavioral Health Agency
  • Hartford, CT
National Provider Identifier
1801348016
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
008581 Issued in CT
Legal business name
NALEJ OF SELF
Practice address
19 Arlington St
Hartford, CT 06106-4004
Phone
(347) 429-5909
NPI assigned
Nov 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Jelan A Agnew
Title
Therapist
Phone
(347) 429-5909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 008581 CT Primary

Addresses

Primary practice location

19 Arlington St
Hartford, CT 06106-4004

Mailing address

19 Arlington St
Hartford, CT 06106
Phone (347) 429-5909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1801348016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ARLINGTON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "347-429-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ARLINGTON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061064004",
            "telephone_number": "347-429-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NALEJ OF SELF",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "AGNEW",
        "authorized_official_first_name": "JELAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "347-429-5909"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "008581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.