NPIMap

Organization Active NPI

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

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Canton, CT
National Provider Identifier
1831601913
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Peter Perrotta, MS., LPC., LADCNPI 1952770935
Title
Therapist
Phone
(860) 751-9125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 3284 CT Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 44.001162 CT

Addresses

Primary practice location

50 Albany Tpke Ste 3010
Canton, CT 06019-2555

Mailing address

PO Box 55
Unionville, CT 06085-0055
Phone (860) 751-9125

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Canton, CT

Sources for this page

  • 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.