F.S. Dubois Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

007194 Issued in CT

Legal business name

F.S. DUBOIS CENTER

Practice address

780 Summer St
Stamford, CT 06901-1089

Phone

(203) 388-1600

Fax

(203) 388-1684

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Melody Poma, LCSW

Title

Clinical Social Work Associate

Phone

(203) 388-1600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1992196125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011089",
            "telephone_number": "203-388-1600",
            "fax_number": "203-388-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011089",
            "telephone_number": "203-388-1600",
            "fax_number": "203-388-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.S. DUBOIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "POMA",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORK ASSOCIATE",
        "authorized_official_telephone_number": "203-388-1600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "007194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Stamford, CT
• Providers in Stamford, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.