NPIMap

Organization Active NPI

New Learning Therapy Center

  • Clinical Psychologist
  • Southport, CT
National Provider Identifier
1902022361
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001785 Issued in CT
Legal business name
NEW LEARNING THERAPY CENTER
Practice address
49 John St
Suite 102
Southport, CT 06890-1436
Phone
(203) 307-3030
Fax
(203) 255-7486
NPI assigned
Apr 17, 2007
Last updated
Jun 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Karen Moretti
Title
Dir of Business Operations
Phone
(203) 307-3030

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 001785 CT Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 002652 CT
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 000015 CT

Addresses

Primary practice location

49 John St
Suite 102
Southport, CT 06890-1436

Mailing address

49 John St
Suite 102
Southport, CT 06890-1436
Phone (203) 307-3030

Other names 1

  • New Learning Center for Prof. Development Other name

National Provider Directory

National Provider Directory

Locations

1200 Post Rd E
Westport, CT 06880
Phone (203) 226-0100

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1902022361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 JOHN ST",
            "address_2": "SUITE 102",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901436",
            "telephone_number": "203-307-3030",
            "fax_number": "203-255-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 JOHN ST",
            "address_2": "SUITE 102",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901436",
            "telephone_number": "203-307-3030",
            "fax_number": "203-255-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEARNING THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "MORETTI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "203-307-3030"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001785",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002652",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Learning Center for Prof. Development",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.