Individual provider Active NPI

Meitta L Young, AMFT

  • Marriage & Family Therapist
  • Stratford, CT
National Provider Identifier
1891578126
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2920 Issued in CT
Practice address
2 Research Dr
Stratford, CT 06615-7126
Phone
(203) 386-8802
Fax
(203) 386-8369
NPI assigned
Aug 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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 2920 CT Primary

Addresses

Primary practice location

2 Research Dr
Stratford, CT 06615-7126

Mailing address

2 Research Dr
Stratford, CT 06615-7126
Phone (203) 386-8802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508002566 CT Practitioner - Marriage and Family Therapist 5496272866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1506 Post Rd
Suite 5
Fairfield, CT 06824-5916
Phone (475) 447-1858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2920CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fortified Therapy, LLC CurrentSince Mar 1, 2025 Accepting new patients
Recovery Network of Programs, Inc. PastSince Aug 27, 2023 Accepting new patients
Recovery Network of Programs, Inc. PastSince Aug 27, 2023 Accepting new patients

Locations

1506 Post Rd
Ste 5
Fairfield, CT 06824
Phone (203) 212-8855

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1891578126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RESEARCH DR",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157126",
            "telephone_number": "203-386-8802",
            "fax_number": "203-386-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RESEARCH DR",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157126",
            "telephone_number": "203-386-8802",
            "fax_number": "203-386-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MEITTA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

Verify at the official NPI Registry.