Shoreline Therapy Center of Southwest CT LLC

Primary specialty

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

Legal business name

SHORELINE THERAPY CENTER OF SOUTHWEST CT LLC

Practice address

120 Post Rd W Ste 301
Westport, CT 06880-4206

Phone

(203) 499-7890

NPI assigned

May 12, 2023

Organization subpart

No

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

Authorized official

Name

Alexander Klein

Title

Executive Director

Phone

(203) 499-7890

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hailey King

  • Counseling Psychologist
  • Norwalk, CT
  • NPI 1386478493
  NPD
• Jacob Zoubek

  • Marriage & Family Therapist
  • New Haven, CT
  • NPI 1518585975
  NPD

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683936000000",
    "number": "1851081780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 POST RD W STE 301",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 POST RD W STE 301",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804206",
            "telephone_number": "203-499-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE THERAPY CENTER OF SOUTHWEST CT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-13",
        "certification_date": "2023-05-13",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-499-7890"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Goldstein
• Rouzi Shengelia, M.D.
• Sheraton Caregivers
• Boris V Sheynberg, MD
• Shoreline Integrative Pharmacy LLC (Shoreline Integrative Pharmacy)
• Shreya Patel OD, PC
• Kenneth Hillel Shubin Stein, M.D.
• Robban Ariel Sica, M.D.
• Jessica Gail Siegel, LCSW
• Cesar A Sierra, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Westport, CT
• Providers in Westport, 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 May 13, 2023; 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.