NPIMap

Organization Active NPI

Haven Health Center of Farmington

  • Occupational Therapist
  • Middletown, CT
National Provider Identifier
1841409786
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
002780 Issued in CT
Legal business name
HAVEN HEALTH CENTER OF FARMINGTON
Practice address
16-20 Forest Glen Cir
Middletown, CT 06457-6662
Phone
(203) 668-0695
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Susan Nicoll Choronzy, OTR
Title
Occupational Therapist
Phone
(860) 677-1671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 002780 CT Primary

Addresses

Primary practice location

16-20 Forest Glen Cir
Middletown, CT 06457-6662

Mailing address

16-20 Forest Glen Cir
Middletown, CT 06457-6662
Phone (203) 668-0695

National Provider Directory

National Provider Directory
Tax ID family
Haven Health Center of Farmington2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841409786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16-20 FOREST GLEN CIR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064576662",
            "telephone_number": "203-668-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-20 FOREST GLEN CIR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064576662",
            "telephone_number": "203-668-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH CENTER OF FARMINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHORONZY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "NICOLL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "860-677-1671",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "002780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.