Michelle Anne Ciak, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001401 Issued in CT

Practice address

954 Newfield St FL 2
Middletown, CT 06457-1883

Phone

(860) 740-7191

Fax

(860) 740-6132

NPI assigned

Sep 7, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1891002218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 NEWFIELD ST FL 2",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571883",
            "telephone_number": "860-740-7191",
            "fax_number": "860-740-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 NEWFIELD ST FL 2",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571883",
            "telephone_number": "860-740-7191",
            "fax_number": "860-740-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAK",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurence Chong, M.D.
• Sharon Marie Christie, MD
• Christina Murphy LCSW LLC
• Edmund Y Chung, MD
• Ashley M Chuquilla
• Michael D a Cicero, D.P.M.
• Kimberly L. Citron, PHD
• City of Middletown
• City of Middletown Health Department
• Jude F Clancy, MD

• Marriage & Family Therapist in Middletown, CT
• Providers in Middletown, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.