Sound Recovery, Inc

Key facts

NPI

1972127678

Entity type

Organization (NPI type 2)

Primary specialty

Addiction Medicine (Family Medicine) Physician 207QA0401X

Legal business name

SOUND RECOVERY, INC

Practice address

110 Pellegrino Rd
Stonington, CT 06378-2129

Phone

(860) 535-3103

NPI assigned

May 29, 2020

Organization subpart

No

Authorized official

Name

Dr. Thomas Defanti, MD NPI 1043239783

Title

Physician

Phone

(860) 535-3103

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

Practitioners 1

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

• Thomas R Defanti, MD Addiction Medicine (Psychiatry & Neurology) Physician · North Stonington, CT · NPI 1043239783
  NPD Authorized official ADDICTION MEDICINE

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 29, 2020.

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1972127678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PELLEGRINO RD",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063782129",
            "telephone_number": "860-535-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PELLEGRINO RD",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063782129",
            "telephone_number": "860-535-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND RECOVERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "DEFANTI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "860-535-3103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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