NPIMap

Organization Active NPI

Stratford Community Services

  • Marriage & Family Therapist
  • Stratford, CT
National Provider Identifier
1851695837
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000784 Issued in CT
Legal business name
STRATFORD COMMUNITY SERVICES
Practice address
468 Birdseye St
Stratford, CT 06615-6976
Phone
(203) 385-4095
NPI assigned
Jan 5, 2011
Organization subpart
Yes
Parent organization
TOWN OF STRATFORD, CTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Ms. Andrea Boissevain
Title
Health Director
Phone
(203) 385-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 000784 CT Primary

Addresses

Primary practice location

468 Birdseye St
Stratford, CT 06615-6976

Mailing address

468 Birdseye St
Stratford, CT 06615-6976
Phone (203) 385-4095

National Provider Directory

National Provider Directory
Tax ID family
Stratford Health Depart5 organizations share this tax ID, including this one
Part of
Stratford Health Depart

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1851695837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 BIRDSEYE ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156976",
            "telephone_number": "203-385-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 BIRDSEYE ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156976",
            "telephone_number": "203-385-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATFORD COMMUNITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF STRATFORD, CT",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "BOISSEVAIN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "203-385-4090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.