Active NPI
Cheryl M Katz, MSW
- Mental Health Counselor
- New Canaan, CT
National Provider Identifier
1942381991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 004236
- Practice address
- 58 Pine St
New Canaan, CT 06840-5425 - Phone
- (203) 972-7238
- Fax
- (203) 972-7238
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004236 | CT | Primary |
Addresses
Primary practice location
58 Pine St
New Canaan, CT 06840-5425
Mailing address
979 South Ave
New Canaan, CT 06840-6740
Phone (203) 972-7238
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60054 | Other | CT | AETNA PROVIDER NUMBER |
| P876525 | Other | CT | OXFORD PROVIDER NUMBER |
| 135700 | Other | CT | VALUE OPTIONS PROV. NUM. |
| 219646 | Other | CT | MHN PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039667 | NY | MD | Physical Therapist |
| 004236 | CT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942381991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "979 SOUTH AVE",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068406740",
"telephone_number": "203-972-7238",
"fax_number": "203-972-7238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 PINE ST",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068405425",
"telephone_number": "203-972-7238",
"fax_number": "203-972-7238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "CHERYL",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "004236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "60054",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER NUMBER",
"identifier": "P876525",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROV. NUM.",
"identifier": "135700",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PROVIDER NUMBER",
"identifier": "219646",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Canaan, CT
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.