Individual provider Active NPI

Paul La Monaca, LMFT

  • Marriage & Family Therapist
  • Newington, CT
National Provider Identifier
1871693432
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000651 Issued in CT
Practice address
705 N Mountain Rd
Newington, CT 06111-1412
Phone
(860) 712-2196
Fax
(860) 683-0256
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000651 CT Primary

Addresses

Primary practice location

705 N Mountain Rd
Newington, CT 06111-1412

Mailing address

705 N Mountain Rd
Newington, CT 06111-1412
Phone (860) 712-2196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000651CTMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871693432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N MOUNTAIN RD",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111412",
            "telephone_number": "860-712-2196",
            "fax_number": "860-683-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N MOUNTAIN RD",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111412",
            "telephone_number": "860-712-2196",
            "fax_number": "860-683-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA MONACA",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.