Individual provider Active NPI

Desiree A Scime, LMFT, LADC

  • Marriage & Family Therapist
  • Watertown, CT
National Provider Identifier
1982837654
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1437 Issued in CT
Practice address
27 Siemon Company Dr Ste 110W
Watertown, CT 06795-2654
Phone
(203) 668-1926
Fax
(203) 583-3927
NPI assigned
Aug 28, 2009
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 877 CT
Marriage & Family Therapist 106H00000X 1437 CT Primary

Addresses

Primary practice location

27 Siemon Company Dr Ste 110W
Watertown, CT 06795-2654

Mailing address

387 Highland Dr
Waterbury, CT 06708-3651
Phone (203) 668-1926

Other identifiers 3

IdentifierTypeStateIssuer
008056849MedicaidCT
1199429OtherCAQH
PENDINGOtherCTANTHEM BCBS OF CT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104001623 CT Practitioner - Marriage and Family Therapist 3476086083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27 Siemon Company Dr
Suite 110W
Watertown, CT 06795-2654
Phone (203) 668-1926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1437CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince Oct 1, 2024 Accepting new patients
Desiree Scime LMFT Ladc Marriage & Family Therapist CurrentSince Aug 1, 2025 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

572 White Plains Rd
Fl Second
Trumbull, CT 06611

27 Siemon Company Dr
Ste 110W
Watertown, CT 06795
Phone (203) 668-1926

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1982837654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 HIGHLAND DR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083651",
            "telephone_number": "203-668-1926",
            "fax_number": "203-583-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SIEMON COMPANY DR STE 110W",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952654",
            "telephone_number": "203-668-1926",
            "fax_number": "203-583-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIME",
        "first_name": "DESIREE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMFT, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "877",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008056849",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "1199429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF CT",
            "identifier": "PENDING",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

Verify at the official NPI Registry.