Healthcare Provider Details

I. General information

NPI: 1255260048
Provider Name (Legal Business Name): CHILD CBT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 OLD KINGS HWY S
DARIEN CT
06820-4526
US

IV. Provider business mailing address

30 OLD KINGS HWY S
DARIEN CT
06820-4526
US

V. Phone/Fax

Practice location:
  • Phone: 203-547-1017
  • Fax:
Mailing address:
  • Phone: 203-547-1017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MELANIE BROWN
Title or Position: LICENSED PSYCHOLOGIST, DIRECTOR
Credential: PHD, MSCP
Phone: 203-547-1017