2Assureus

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

2ASSUREUS

Practice address

21 Charter Oak Ave
Hartford, CT 06106-1801

Phone

(860) 759-5097

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Dajavon A Davis, LMFT

Title

Co-Owner/Clinical Director

Phone

(860) 759-5097

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Dajavon Davis-Phillips, LMFT

  • Marriage & Family Therapist
  • Rocky Hill, CT
  • NPI 1114450467
  NPD

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1942965090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 BARRY PL",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671207",
            "telephone_number": "860-759-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CHARTER OAK AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061801",
            "telephone_number": "860-759-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ASSUREUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DAJAVON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "860-759-5097",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice.com",
            "affiliation": "N",
            "endpointDescription": "Electronic health record with portal access for clients and providers",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21 Charter Oak Ave",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061061801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.