Organization Active NPI

Relational Abuse Resource Center LLC

  • Adult Mental Health Clinic/Center
  • Westport, CT
National Provider Identifier
1821779299
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RELATIONAL ABUSE RESOURCE CENTER LLC
Practice address
180 Post Rd E Ste 208
Westport, CT 06880-3414
Phone
(203) 306-5855
Fax
(203) 308-5585
NPI assigned
Jul 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Elisa Lederer, LCSWNPI 1912278094
Title
Owner
Phone
(561) 335-7671

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

180 Post Rd E Ste 208
Westport, CT 06880-3414

Mailing address

4 Jarvis St
Norwalk, CT 06851-2824
Phone (203) 306-5855

Other names 1

  • Relational Abuse Resource Center LLC Doing business as

National Provider Directory

National Provider Directory

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": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1821779299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JARVIS ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068512824",
            "telephone_number": "203-306-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 POST RD E STE 208",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803414",
            "telephone_number": "203-306-5855",
            "fax_number": "203-308-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELATIONAL ABUSE RESOURCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "LEDERER",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-335-7671",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relational Abuse Resource Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.