Mr. Therapy Guy LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MR. THERAPY GUY LLC

Practice address

605 Washington Ave
North Haven, CT 06473-1123

Phone

(203) 843-4456

NPI assigned

Apr 22, 2024

Last updated

Apr 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael D Petras II, LMFTNPI 1730631888

Title

Owner/Managing Member

Phone

(203) 843-4456

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Daniel Petras II, LMFT

  • Marriage & Family Therapist
  • Milford, CT
  • NPI 1730631888
  NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1922853175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MAIN ST # 228",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053787",
            "telephone_number": "203-843-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 WASHINGTON AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731123",
            "telephone_number": "203-843-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR. THERAPY GUY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "PETRAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "203-843-4456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montowese Health & Rehabililtation Center
• Montowese Physicians Group
• Aeden P. Morley, DPT
• Stephen F Morley, APRN
• Katherine Morrison, APRN
• Sandip Mukherjee, MD, FACC, FACP
• Sudarshan Mullapudi
• Munier Concierge Services LLC
• Alexis Ap Munson, LCSW
• Nancy C Murphy, LO

• Marriage & Family Therapist in North Haven, CT
• Providers in North Haven, 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 Apr 22, 2024; 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.