Organization Active NPI

Rimma Gofman, Ma LMFT

  • Professional Counselor
  • Fairfield, CT
National Provider Identifier
1972960441
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001778 Issued in CT
Legal business name
RIMMA GOFMAN, MA LMFT
Practice address
39 Sherman CT
Fairfield, CT 06824-5852
Phone
(203) 257-3140
Fax
(203) 368-9167
NPI assigned
Jan 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Grace Cullen
Title
Billing
Phone
(203) 368-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 001778 CT Primary

Addresses

Primary practice location

39 Sherman CT
Fairfield, CT 06824-5852

Mailing address

385 Lockwood Rd
Fairfield, CT 06825-2650
Phone (203) 257-3140

Other identifiers 1

IdentifierTypeStateIssuer
004069985MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1972960441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 LOCKWOOD RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068252650",
            "telephone_number": "203-257-3140",
            "fax_number": "203-368-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SHERMAN CT",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245852",
            "telephone_number": "203-257-3140",
            "fax_number": "203-368-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIMMA GOFMAN, MA LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "203-368-5515"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004069985",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.