Lindsay Betzendahl, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001283 Issued in CT

Practice address

1750 Ellington Rd
Building 3
South Windsor, CT 06074-2746

Phone

(860) 808-6959

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 26, 2009.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1831240779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 BUCKLAND HILLS DR",
            "address_2": "APT. 25122",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060429100",
            "telephone_number": "860-808-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ELLINGTON RD",
            "address_2": "BUILDING 3",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742746",
            "telephone_number": "860-808-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETZENDAHL",
        "first_name": "LINDSAY",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.