Shades Greener, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SHADES GREENER, LLC

Practice address

18 Lydale PL
Meriden, CT 06450-6125

Phone

(203) 514-4189

NPI assigned

Jan 5, 2020

Organization subpart

No

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

Authorized official

Name

Allison Bombard, LCSWNPI 1598167769

Title

Owner

Phone

(203) 339-2593

Specialties & licenses 2

Addresses

Other names 1

• Allison Bombard LCSW Doing business as

Locations

Practitioners 1

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

• Allison Bombard, LCSW

  • Clinical Social Worker
  • North Haven, CT
  • NPI 1598167769
  NPD Authorized official

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1952940140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LYDALE PL",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506125",
            "telephone_number": "203-339-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LYDALE PL",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506125",
            "telephone_number": "203-514-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADES GREENER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-05",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "BOMBARD",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-339-2593",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allison Bombard LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allison Bombard LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jillian Carol Seelig, OTR/L
• Dorothy Seiferman, APRN
• Corey Sell, MD
• Maria Sena, LMFT
• Nathaniel Senderoff
• Jigar G Shah
• Manush Shah, DMD
• Mohammed A Shams, M.D.
• Tonya R Shand, APRN
• Janet Lynne Shanks

• Adult Mental Health Clinic/Center in Meriden, CT
• Providers in Meriden, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.