Active NPI
Sherry Wong
- Behavior Analyst
- Cromwell, CT
National Provider Identifier
1821597477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 760
- Practice address
- 162 West St, BLDG 2, Suite F
Cromwell, CT 06416 - Phone
- (860) 613-9930
- Fax
- (860) 613-9952
- NPI assigned
- Feb 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Behavior Analyst | 103K00000X | 760 | CT | Primary |
Addresses
Primary practice location
162 West St, BLDG 2, Suite F
Cromwell, CT 06416
Mailing address
162 West St, BLDG 2, Suite F
Cromwell, CT 06416
Phone (860) 613-9930
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iris Behavioral Health Services LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Watertown, CT
- NPI 1861176315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1821597477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 WEST ST, BLDG 2, SUITE F",
"city": "CROMWELL",
"state": "CT",
"postal_code": "06416",
"telephone_number": "860-613-9930",
"fax_number": "860-613-9952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 WEST ST, BLDG 2, SUITE F",
"city": "CROMWELL",
"state": "CT",
"postal_code": "06416",
"telephone_number": "860-613-9930",
"fax_number": "860-613-9952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "SHERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-09",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.