Organization Active NPI

Access Therapy LLC

  • Health Service Clinic/Center
  • Waterbury, CT
National Provider Identifier
1871208991
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ACCESS THERAPY LLC
Practice address
141 Blue Ridge Dr Ext
Unit B
Waterbury, CT 06704
Phone
(917) 930-1426
NPI assigned
Jan 23, 2023
Last updated
May 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Jacob Richland, LPC-A
Title
Manager
Phone
(917) 930-1426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

141 Blue Ridge Dr Ext
Unit B
Waterbury, CT 06704

Mailing address

141 Blue Ridge Drive Ext.
Unit B
Waterbury, CT 06704
Phone (917) 930-1426

Other practice location 1

1223 E 27th St
Brooklyn, NY 11210-4622
Phone (917) 930-1426

National Provider Directory

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, 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": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1871208991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 BLUE RIDGE DRIVE EXT.",
            "address_2": "UNIT B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06704",
            "telephone_number": "917-930-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 BLUE RIDGE DR EXT",
            "address_2": "UNIT B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06704",
            "telephone_number": "917-930-1426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 E 27th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112104622",
            "country_code": "US",
            "telephone_number": "917-930-1426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACCESS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "RICHLAND",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-930-1426",
        "authorized_official_credential": "LPC-A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.