Active NPIOrganization

Regenerative Psychotherapy PLLC

Social Worker, Clinical in Westport, Connecticut

NPI Number1003420829
Practice location
95 Long Lots RD, Westport, CT 06880-3919
Fax
—
Last updated
August 31, 2020

Regenerative Psychotherapy PLLC is a healthcare organization based in Westport, CT. Regenerative Psychotherapy PLLC practices in Westport, CT. The NPI Number for Regenerative Psychotherapy PLLC is 1003420829. The current practice location address for Regenerative Psychotherapy PLLC is 95 Long Lots RD, Westport, CT 06880-3919 and can be reached out via phone at 917-224-9598.

Provider Profile Details

NPI Number
1003420829
Provider Name
Regenerative Psychotherapy PLLC
Provider Entity Type
Organization
Address
95 Long Lots RD, Westport, CT 06880-3919
Phone Number
917-224-9598
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Merritt Juliano, JD LCSW · Managing Member · 917-224-9598
Other Names
Regenerative Psychotherapy PLLC (Former Legal Business Name)
Provider Enumeration Date
August 31, 2020
Last Update Date
August 31, 2020
Certification Date
August 31, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Long Lots RD
Westport, CT 06880-3919
Zip
06880-3919
Phone Number
917-224-9598
Westport, CT 06880Get directions →

Provider Business Mailing Address Details

Address
95 Long Lots RD
Westport, CT 06880-3919
City
Westport
State
CT
Zip
06880-3919
Phone Number
917-224-9598

License Information

Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Regenerative Psychotherapy PLLC?

The NPI number of Regenerative Psychotherapy PLLC is 1003420829. It was assigned on August 31, 2020 and is currently active in the NPPES registry.

What is the specialty of Regenerative Psychotherapy PLLC?

Regenerative Psychotherapy PLLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Regenerative Psychotherapy PLLC practice?

The practice location is 95 Long Lots RD, Westport, CT 06880-3919. The office can be reached at 917-224-9598 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003420829 directly on the NPPES registry website.

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