Active NPI
Yvonne Booy
- Clinical Social Worker
- Bridgeport, CT
National Provider Identifier
1831518513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 009214
- Practice address
- 46 Albion Street
Bridgeport, CT 06605 - Phone
- (203) 332-3147
- Fax
- (203) 331-4716
- NPI assigned
- Apr 10, 2014
- Last updated
- Sep 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | ||
| Clinical Social Worker | 1041C0700X | 009214 | CT | Primary |
Addresses
Primary practice location
46 Albion Street
Bridgeport, CT 06605
Mailing address
46 Albion Street
Bridgeport, CT 06605
Phone (203) 332-3147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009214 | Other | CT | CT LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009214 | CT | MD | Dentist |
| 9214 | CT | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1831518513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 ALBION STREET",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06605",
"telephone_number": "203-332-3147",
"fax_number": "203-331-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 ALBION STREET",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06605",
"telephone_number": "203-332-3147",
"fax_number": "203-331-4716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOY",
"first_name": "YVONNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "009214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT LICENSE",
"identifier": "009214",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.