Organization Active NPI

Robin L Shahverdian LLC

  • Mental Health Counselor
  • Farmington, CT
National Provider Identifier
1881181790
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2892 Issued in CT
Legal business name
ROBIN L SHAHVERDIAN LLC
Practice address
304 Main St Ste D428
Farmington, CT 06032
Phone
(860) 470-6578
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Robin Leigh Shahverdian, LPCNPI 1386060861
Title
Owner
Phone
(860) 470-6578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2892 CT Primary

Addresses

Primary practice location

304 Main St Ste D428
Farmington, CT 06032

Mailing address

53 Pilgrim Rd
Bristol, CT 06010-3128
Phone (860) 877-6165

National Provider Directory

National Provider Directory

Locations

304 Main St
Ste D428
Farmington, CT 06032
Phone (860) 470-6578

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": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1881181790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PILGRIM RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103128",
            "telephone_number": "860-877-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN ST STE D428",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "06032",
            "telephone_number": "860-470-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN L SHAHVERDIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "SHAHVERDIAN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-470-6578",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "2892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.