Martin Brault, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

000696 Issued in CT

Practice address

6 Hollyhock Rd FL 2
Wilton, CT 06897-4414

Phone

(203) 761-9487

Fax

(203) 761-9487

NPI assigned

Oct 2, 2018

Last updated

Oct 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1922583236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HOLLYHOCK RD FL 2",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974414",
            "telephone_number": "203-761-9487",
            "fax_number": "203-761-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HOLLYHOCK RD FL 2",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974414",
            "telephone_number": "203-761-9487",
            "fax_number": "203-761-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAULT",
        "first_name": "MARTIN",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Van Houten Boucher, MA, LMFT
• Ethan Emery Bourque
• Robert Lee Brady, M.D.
• Christopher M Braley, PSYD
• Barbara Suzanne Brandvold, PT
• Gwendelyn D Breemeersch
• Bridgeport Anesthesia Associates, P.C.
• Brookdale Place of Wilton, LLC (Brookdale Wilton)
• Elizabeth Eleanor Brown, MD
• Lori Sue Brown

• Addiction (Substance Use Disorder) Counselor in Wilton, CT
• Providers in Wilton, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.