Organization Active NPI

Exhale Breathe and Let Go

  • Clinical Social Worker
  • Woodbridge, CT
National Provider Identifier
1902159528
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EXHALE BREATHE AND LET GO
Practice address
214 Amity Rd
Woodbridge, CT 06525-2241
Phone
(203) 589-1115
NPI assigned
Oct 19, 2012
Last updated
Jan 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Gladys Jackson Deyounge, MSW, LCSW
Title
Owner
Phone
(203) 589-1115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

214 Amity Rd
Woodbridge, CT 06525-2241

Mailing address

16 Beaver Hill LN
New Haven, CT 06511-1639
Phone (203) 589-1115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1902159528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BEAVER HILL LN",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111639",
            "telephone_number": "203-589-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 AMITY RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252241",
            "telephone_number": "203-589-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXHALE BREATHE AND LET GO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "DEYOUNGE",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-589-1115",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.