Individual provider Active NPI

Yamel A Corcoll-Iglesias, MA.,LMFT

  • Marriage & Family Therapist
  • Stamford, CT
National Provider Identifier
1871795112
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001153 Issued in CT
Practice address
1 Bank St
Suite #207
Stamford, CT 06901-3006
Phone
(203) 667-1812
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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 001153 CT Primary

Addresses

Primary practice location

1 Bank St
Suite #207
Stamford, CT 06901-3006

Mailing address

1 Bank St
Suite #207
Stamford, CT 06901-3006
Phone (203) 667-1812

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001153CTMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1871795112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BANK ST",
            "address_2": "SUITE #207",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013006",
            "telephone_number": "203-667-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BANK ST",
            "address_2": "SUITE #207",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013006",
            "telephone_number": "203-667-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCOLL-IGLESIAS",
        "first_name": "YAMEL",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MA.,LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.