Peter Perrotta Ms., LPC., Ladc., LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

3284 Issued in CT

Legal business name

PETER PERROTTA MS., LPC., LADC., LLC

Practice address

50 Albany Tpke Ste 3010
Canton, CT 06019-2555

Phone

(860) 751-9125

NPI assigned

Oct 30, 2017

Organization subpart

No

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

Authorized official

Name

Peter Perrotta, MS., LPC., LADC

Title

Therapist

Phone

(860) 751-9125

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1831601913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060850055",
            "telephone_number": "860-751-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALBANY TPKE STE 3010",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192555",
            "telephone_number": "860-751-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER PERROTTA MS., LPC., LADC., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "PERROTTA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "860-751-9125",
        "authorized_official_credential": "MS., LPC., LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "3284",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "44.001162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peter Perrotta, LPC., LADC
• Alyssa J Powers, DPT
• Andrea Prairie Tulley, LPC
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• Tracy C. Reed, B.S.
• Manjot Reen, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Canton, CT
• Providers in Canton, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.