Organization Active NPI

Personal Development LLC

  • Marriage & Family Therapist
  • Monroe, CT
National Provider Identifier
1922446566
Registry record updated Oct 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001500 Issued in CT
Legal business name
PERSONAL DEVELOPMENT LLC
Practice address
238 Monroe Tpke
Suite B
Monroe, CT 06468-6200
Phone
(203) 383-9872
NPI assigned
Jun 5, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Cheryl Ball, LMFTNPI 1629319025
Title
Owner/Psychotherapist
Phone
(203) 383-9872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

238 Monroe Tpke
Unit B
Monroe, CT 06468
Phone (203) 383-9872

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 001500 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

238 Monroe Tpke
Suite B
Monroe, CT 06468-6200

Mailing address

323 Webb Cir
Monroe, CT 06468-1453
Phone (203) 383-9872

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2016.

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477785600000",
    "number": "1922446566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 WEBB CIR",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681453",
            "telephone_number": "203-383-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 MONROE TPKE",
            "address_2": "SUITE B",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064686200",
            "telephone_number": "203-383-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2016-10-30",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "203-383-9872",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2016; 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.