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1861339814 NPI number — POWELL MENTAL HEALTH

NPI Number: 1861339814
Health Care Provider/Practitioner: POWELL MENTAL HEALTH

Information about “1861339814” NPI (POWELL MENTAL HEALTH) exists in 1861339814 in HTML format HTML  |  1861339814 in plain Text format TXT  |  1861339814 in PDF (Portable Document Format) PDF  |  1861339814 in an XML format XML  formats.

NPI Number : 1861339814 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861339814",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "PMH CT PC",
    "ParentOrgTIN": null,
    "OrgName": "POWELL MENTAL HEALTH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1080 DAY HILL RD STE 105",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINDSOR",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06095-1781",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-602-8787",
    "MailingAddressFaxNumber": "860-602-8788",
    "FirstLinePracticeLocationAddress": "5156 S ORANGE AVE STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32809-3023",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "772-276-9355",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/29/2026",
    "LastUpdateDate": "04/29/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BROWN",
    "AuthorizedOfficialFirstName": "SOPHIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CLINICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "860-602-8787",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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