Active NPIIndividual provider

Thretha Green, MA C PSY

Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut

NPI Number1760794747
Practice location
141 E Main St, Waterbury, CT 06702-2310
Fax
203-574-9006
Last updated
June 18, 2021

Thretha Green is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Thretha Green practices in Waterbury, CT and has the professional credentials of MA C PSY. The NPI Number for Thretha Green is 1760794747. The current practice location address for Thretha Green is 141 E Main St, Waterbury, CT 06702-2310 and can be reached out via phone at 203-574-9000 and via fax at 203-574-9006.

Provider Profile Details

NPI Number
1760794747
Provider Name
Thretha Green
Credential
MA C PSY
Provider Entity Type
Individual
Gender
Female
Address
141 E Main St, Waterbury, CT 06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006
Sole Proprietor
No
Provider Enumeration Date
July 8, 2010
Last Update Date
June 18, 2021
Certification Date
June 18, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
141 E Main St
Waterbury, CT 06702-2310
Zip
06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006
Waterbury, CT 06702Get directions →

Provider Business Mailing Address Details

Address
141 E Main St
Waterbury, CT 06702-2310
City
Waterbury
State
CT
Zip
06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006

License Information

Taxonomy (2)
Counselor, Mental Health · 101YM0800X

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 Thretha Green, MA C PSY?

The NPI number of Thretha Green, MA C PSY is 1760794747. It was assigned on July 8, 2010 and is currently active in the NPPES registry.

What is the specialty of Thretha Green, MA C PSY?

Thretha Green, MA C PSY is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Thretha Green, MA C PSY practice?

The practice location is 141 E Main St, Waterbury, CT 06702-2310. The office can be reached at 203-574-9000 (phone) or 203-574-9006 (fax).

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 1760794747 directly on the NPPES registry website.

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