Organization Active NPI

Ims, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westport, CT
National Provider Identifier
1841763307
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
IMS, LLC
Practice address
225 Main St Ste 203
Westport, CT 06880-3216
Phone
(203) 493-6557
Fax
(203) 762-7658
NPI assigned
Jan 8, 2019
Last updated
Jan 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Ms. Inger Mai Sjogren, LPCNPI 1881130631
Title
Owner Clinician
Phone
(203) 493-6557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

225 Main St Ste 203
Westport, CT 06880-3216

Mailing address

35 Graenest Ridge Rd
Wilton, CT 06897-2929
Phone (203) 247-7546

Other identifiers 2

IdentifierTypeStateIssuer
3530OtherCTLPC LICENSE
1881130631OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

225 Main St
Ste 203
Westport, CT 06880
Phone (203) 493-6557

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": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1841763307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GRAENEST RIDGE RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972929",
            "telephone_number": "203-247-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MAIN ST STE 203",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803216",
            "telephone_number": "203-493-6557",
            "fax_number": "203-762-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "SJOGREN",
        "authorized_official_first_name": "INGER",
        "authorized_official_middle_name": "MAI",
        "authorized_official_title_or_position": "OWNER CLINICIAN",
        "authorized_official_telephone_number": "203-493-6557",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "3530",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1881130631",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.