Organization Active NPI

Child Guidance Center of Greater BPT

  • Community/Behavioral Health Agency
  • Bridgeport, CT
National Provider Identifier
1902139181
Registry record updated Sep 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILD GUIDANCE CENTER OF GREATER BPT
Practice address
180 Fairfield Ave
Bridgeport, CT 06604-4252
Phone
(203) 394-6529
NPI assigned
Sep 7, 2009
Last updated
Sep 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2009

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

Authorized official

Name
Jeanne Marion Odonnell, LCSW
Title
Supervisor
Phone
(203) 255-2631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

180 Fairfield Ave
Bridgeport, CT 06604-4252

Mailing address

180 Fairfield Ave
Bridgeport, CT 06604-4252
Phone (203) 394-6529

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252281600000",
    "number": "1902139181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FAIRFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044252",
            "telephone_number": "203-394-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FAIRFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044252",
            "telephone_number": "203-394-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD GUIDANCE CENTER OF GREATER BPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-07",
        "last_updated": "2009-09-07",
        "status": "A",
        "authorized_official_last_name": "ODONNELL",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "203-255-2631",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2009; 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.