Sound Mind, L.L.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003591 Issued in CT

Legal business name

SOUND MIND, L.L.C.

Practice address

1115 Main St
Suite 702
Bridgeport, CT 06604-4406

Phone

(203) 243-5159

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Ruth Alter, L.C.S.W.

Title

Owner

Phone

(203) 243-5159

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972721520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MAIN ST",
            "address_2": "SUITE 702",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044406",
            "telephone_number": "203-243-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MAIN ST",
            "address_2": "SUITE 702",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044406",
            "telephone_number": "203-243-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND MIND, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-243-5159",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972721512",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.