Paulette Kay Trueblood, M.A., L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000786 Issued in CT

Practice address

101 Harbor Rd
Southport, CT 06890-1316

Phone

(203) 254-8262

Fax

(203) 255-2512

NPI assigned

Sep 29, 2006

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

Other names 1

• Miss Paulette Kay Castonguay Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 2, 2024 through Jan 2, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Associates for Resolutiontherapy LLC

  • Marriage & Family Therapist
  • Southport, CT
  • NPI 1174615827
  NPD (past) Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902998560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S PINE CREEK RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246352",
            "telephone_number": "203-255-2022",
            "fax_number": "203-255-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HARBOR RD",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901316",
            "telephone_number": "203-254-8262",
            "fax_number": "203-255-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUEBLOOD",
        "first_name": "PAULETTE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULETTE",
            "last_name": "CASTONGUAY",
            "middle_name": "KAY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Spengler, OD
• Kristina Sullivan
• Lisa Adele Szymanski, LCSW
• Sayali Vinayak Tawte
• Olivia Templeton, REGISTERED DIETITIAN
• Tutela Services LLC
• Dionysios John Tzoumas, DDS
• Brian Joseph Uss, NATUROPATHIC DOCOTOR
• Tito L. Vasquez, M.D.
• Allison Wales

• Marriage & Family Therapist in Southport, CT
• Providers in Southport, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.