NPIMap

Organization Active NPI

Insight Psychotherapy Services, LLC

  • Marriage & Family Therapist
  • Bristol, CT
National Provider Identifier
1972093284
Registry record updated May 11, 2018
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Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001978 Issued in CT
Legal business name
INSIGHT PSYCHOTHERAPY SERVICES, LLC
Practice address
61 Bradley St
Bristol, CT 06010-5103
Phone
(860) 470-6366
NPI assigned
May 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Authorized official

Name
Angela Burgess, MA., LMFTNPI 1932584992
Title
Marriage and Family Therapist
Phone
(860) 470-6366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 001978 CT Primary

Addresses

Primary practice location

61 Bradley St
Bristol, CT 06010-5103

Mailing address

136 Tunxis VLG
Farmington, CT 06032-1502
Phone (860) 470-6366

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1972093284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 TUNXIS VLG",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321502",
            "telephone_number": "860-470-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BRADLEY ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105103",
            "telephone_number": "860-470-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT PSYCHOTHERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "860-470-6366",
        "authorized_official_credential": "MA., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.