Individual provider Active NPI

David Joseph Cantor, LMFT

  • Marriage & Family Therapist
  • West Hartford, CT
National Provider Identifier
1992858955
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000898 Issued in CT
Practice address
805 Farmington Ave
2ND FL
West Hartford, CT 06119-1670
Phone
(860) 231-9690
Fax
(860) 231-9690
NPI assigned
Jan 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000898 CT Primary

Addresses

Primary practice location

805 Farmington Ave
2ND FL
West Hartford, CT 06119-1670

Mailing address

805 Farmington Ave
2ND FL
West Hartford, CT 06119-1670
Phone (860) 231-9690

Other identifiers 1

IdentifierTypeStateIssuer
410000898CT03OtherCTANTHEM PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000898CTMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992858955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 FARMINGTON AVE",
            "address_2": "2ND FL",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191670",
            "telephone_number": "860-231-9690",
            "fax_number": "860-231-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FARMINGTON AVE",
            "address_2": "2ND FL",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191670",
            "telephone_number": "860-231-9690",
            "fax_number": "860-231-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTOR",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "410000898CT03",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.