LIBERATION PROGRAMS INC (NPI# 1407978356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407978356 |
| Entity Type | Organization |
| Organization Name | LIBERATION PROGRAMS INC |
| Other Organization Name | LIBERATION MERIDIAN GUENSTER |
| Practice Address |
115 Main St Stamford CT 06901-2818 |
| Mailing Address |
4 Elmcrest Ter Norwalk CT 06850-3908 |
| Practice Telephone | 2033561980 |
| Practice Fax Number | 2039679476 |
| Mailing Telephone | 2038512077 |
| Mailing Fax Number | 2038512082 |
| Enumeration Date | 2007-04-04 |
| 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 |
0324 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004258366 | 05 |
| Other Name | Type Code |
|---|---|
| Liberation Meridian Guenster | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174644652 | Liberation Programs Inc | Clinic/Center | 120 Brookside Road, Darien, CT 06820 | 2007-04-03 |
| 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 |
| 1649390733 | Liberation Programs Inc | Clinic/Center | 115 Main St, Stamford, CT 06901-2818 | 2007-03-30 |
| Street Address |
115 MAIN ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06901-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1649390733 | Liberation Programs Inc | Clinic/Center | 115 Main St, Stamford, CT 06901-2818 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174176705 | Asnis Dental of Connecticut LLC | Dentist | 54 West Park Place, Stamford, CT 06901 | 2019-07-23 |
| 1588224885 | Sheikh M Zakaria | Pharmacist | 922 Washington Boulevard, Stamford, CT 06901 | 2019-06-18 |
| 1659861482 | Amanda Margaret Alon | Dentist | 127 Greylock Place, Stamford, CT 06901 | 2018-05-17 |
| 1821406851 | Bushra Helmandi | Chiropractor | 163 Franklin St, Apt 206, Stamford, CT 06901 | 2014-07-22 |
| 1629483912 | Nancy Ozuna | Registered Nurse | 707 Summer St, 4floor, Stamford, CT 06901 | 2014-06-25 |
| 1104162825 | Angelic Healthcare LLC | Home Health | 43 Dolsen Place Apt. 2, Stamford, CT 06901 | 2012-12-28 |
| 1477857597 | Vanessa L Love | Counselor | 76 Progress Drive #249d, Stamford, CT 06901 | 2011-01-04 |
| 1457651283 | Lukas A Konandreas | Pediatrics | 660 Bedford St, Stamford, CT 06901 | 2010-10-27 |
| 1750583399 | Amanda W Pong | Psychiatry & Neurology | 50 Forest St, Apt 1421, Stamford, CT 06901 | 2007-06-05 |
| 1588748511 | Helene Strazza | Dentist | 127 Greyrock Place, Stamford, CT 06901 | 2006-10-25 |
| Find all providers in zip 06901 | ||||
| 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.