Northwestern Connecticut Young Men's Christian Association, Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

NORTHWESTERN CONNECTICUT YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

Practice address

259 Prospect St
Torrington, CT 06790-5315

Phone

(860) 489-3133

Fax

(860) 482-4853

NPI assigned

Sep 30, 2016

Last updated

Sep 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Greg Brisco

Title

Chief Executive Officer

Phone

(860) 489-3133

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1841749975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 PROSPECT ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905315",
            "telephone_number": "860-489-3133",
            "fax_number": "860-482-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 PROSPECT ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905315",
            "telephone_number": "860-489-3133",
            "fax_number": "860-482-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN CONNECTICUT YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "BRISCO",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "860-489-3133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Ear Nose &Throat Specialists PC
• Northwest Foot Specialists, L.L.P.
• Northwest Hills Pediatrics PC
• Northwest Physical Medicine. LLC
• Northwestern Connecticut Counseling and Consulting
• Robert Nowobilski
• NP Wellness Care
• NWCT Emergency Medicine, PC
• Dawn B O,Neill
• O.M.S. Associates, P.C.

• Health Educator in Torrington, CT
• Providers in Torrington, CT by specialty
• Health Educator in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.