Organization Active NPI

Cynthia Leavitt, LLC

  • Adult Mental Health Clinic/Center
  • Glastonbury, CT
National Provider Identifier
1942864145
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CYNTHIA LEAVITT, LLC
Practice address
39 New London Tpke Ste 316
Glastonbury, CT 06033-2061
Phone
(860) 670-0507
NPI assigned
Apr 24, 2019
Last updated
Apr 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Cynthia Leavitt
Title
LPC, Atr
Phone
(860) 670-0507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

39 New London Tpke Ste 316
Glastonbury, CT 06033-2061

Mailing address

39 New London Tpke Ste 316
Glastonbury, CT 06033-2061
Phone (860) 670-0507

National Provider Directory

National Provider Directory

Locations

39 New London Tpke
Ste 316
Glastonbury, CT 06033
Phone (860) 559-7003

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1942864145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NEW LONDON TPKE STE 316",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332061",
            "telephone_number": "860-670-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NEW LONDON TPKE STE 316",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332061",
            "telephone_number": "860-670-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA LEAVITT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "LPC, ATR",
        "authorized_official_telephone_number": "860-670-0507"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.