LIBERATION PROGRAMS INC (NPI# 1174644652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174644652 |
| Entity Type | Organization |
| Organization Name | LIBERATION PROGRAMS INC |
| Other Organization Name | LIBERATION MERIDIAN GUENSTER |
| Practice Address |
120 Brookside Road Darien CT 06820 |
| Mailing Address |
4 Elmcrest Ter Norwalk CT 06850-3908 |
| Practice Telephone | 2036558973 |
| Practice Fax Number | 2036552389 |
| Mailing Telephone | 2038512077 |
| Mailing Fax Number | 2038512082 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | MR. ALAN MATHIS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2038512077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
0271 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004259025 | 05 |
| Other Name | Type Code |
|---|---|
| Liberation Meridian Guenster | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316067481 | Liberation Programs Inc | Clinic/Center | 399 Mill Hill Ave, Bridgeport, CT 06610-2865 | 2007-03-30 |
| 1346360443 | Liberation Programs Inc | Clinic/Center | 55 Old Field Point Rd, Greenwich, CT 06830-6149 | 2007-03-30 |
| 1528241189 | Liberation Programs Inc | Substance Abuse Rehabilitation Facility | 119 Main St, Stamford, CT 06901-2818 | 2007-12-06 |
| 1750562989 | Liberation Programs Inc | Substance Abuse Rehabilitation Facility | 141 Franklin St, Stamford, CT 06901-1014 | 2007-11-15 |
| 1316060940 | Liberation Programs Inc | Counselor | 399 Mill Hill Ave, Bridgeport, CT 06610-2865 | 2007-04-09 |
| 1942323571 | Liberation Programs Inc | Counselor | 115 Main St, Stamford, CT 06901-2818 | 2007-04-09 |
| 1851414486 | Liberation Programs Inc | Counselor | 115 Main St, Stamford, CT 06901-2818 | 2007-04-09 |
| 1407978356 | Liberation Programs Inc | Clinic/Center | 115 Main St, Stamford, CT 06901-2818 | 2007-04-04 |
| 1649390733 | Liberation Programs Inc | Clinic/Center | 115 Main St, Stamford, CT 06901-2818 | 2007-03-30 |
| Street Address |
120 BROOKSIDE ROAD |
| City | DARIEN |
| State | CT |
| Zip Code | 06820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225574445 | Resolution Wellness | Physical Therapist | 5 Tokeneke Rd, Darien, CT 06820 | 2017-01-11 |
| 1548619158 | Gurpreet Singh | Pharmacist | 964 Post Road, Darien, CT 06820 | 2016-06-06 |
| 1578830584 | Darien Pediatric Associates, LLC | Pediatrics | 106 Noroton Avenue, Darien, CT 06820 | 2011-11-18 |
| 1649574476 | Kelly Anne Wolfe | Physical Therapist | 319 Post Rd, Darien, CT 06820 | 2011-01-09 |
| 1932409612 | Suzanne T. Spinella-curto | Social Worker | 110 Post Road, Darien, CT 06820 | 2010-10-27 |
| 1568793644 | Alan Marc Muney | Pediatrics | 70 Leeuwarden Rd., Darien, CT 06820 | 2010-01-29 |
| 1134356959 | Yuen-jong Liu | Plastic Surgery | 722 Post Rd Ste 200, Darien, CT 06820 | 2009-06-18 |
| 1740431667 | Lisa Michelle Supino | Psychologist | 6 Thorndal Circle, Darien, CT 06820 | 2008-10-09 |
| 1326222522 | Sharon Ellen Kutner | Social Worker | Family Centers- Center for Hope, 590 Post Road, Darien, CT 06820 | 2007-12-24 |
| 1174719637 | Jeanne E Castellucci | Chiropractor | 747 Post Rd, Darien, CT 06820 | 2007-09-19 |
| Find all providers in zip 06820 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780195339 | Rachel Collins, Lpc | Clinic/Center | 410 State St Rm 1, North Haven, CT 06473-3149 | 2017-10-22 |
| 1376054148 | Joann Flynn LLC. | Clinic/Center | 3 Swanswood Ln, Old Lyme, CT 06371-1867 | 2017-10-19 |
| 1942723036 | Kellys Kids, Inc | Clinic/Center | 9 Spring Rd, Prospect, CT 06712-1522 | 2017-07-20 |
| 1295256840 | B.e.a.u.t.y, LLC | Clinic/Center | 824 Main St Ste F, Manchester, CT 06040-6048 | 2017-07-05 |
| 1518413442 | Community Partners In Action | Clinic/Center | 995 Sherman Ave, Hamden, CT 06514-1144 | 2016-08-31 |
| 1952760803 | Darbonshire, LLC | Clinic/Center | 304 Wahackme Rd, New Canaan, CT 06840-3936 | 2016-02-21 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1497025035 | Ct Clinical Services, Inc. | Clinic/Center | 189 Orange St, New Haven, CT 06510-2014 | 2012-01-12 |
| 1093950032 | Yale Parenting and Child Conduct Clinic | Clinic/Center | 314 Prospect St, New Haven, CT 06511-2187 | 2008-12-04 |
| 1710185731 | Waterford Country School, Inc. | Clinic/Center | 78 Hunts Brook Rd, Quaker Hill, CT 06375-1009 | 2007-07-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LIBERATION PROGRAMS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.