LIBERATION PROGRAMS INC – NPI #1174644652
Clinic/Center

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.

LIBERATION PROGRAMS INC is an AHC clinic located in DARIEN, CT. NPPES has assigned the NPI number 1174644652 to LIBERATION PROGRAMS INC on April 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is LIBERATION MERIDIAN GUENSTER. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

The NPI profile was previously updated about 18 years ago on Jun 27, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIBERATION PROGRAMS INC below.

NPI Profile for
LIBERATION PROGRAMS INC

NPI Number
1174644652
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIBERATION PROGRAMS INC
Former Legal Business Name: LIBERATION MERIDIAN GUENSTER
Primary location
120 BROOKSIDE ROAD
DARIEN, CT 06820
Phone: (203) 655-8973 Fax: (203) 655-2389
Mailing address
4 ELMCREST TER
NORWALK, CT 06850-3908
Phone: (203) 851-2077 Fax: (203) 851-2082
Organization Subpart
No
Authorized Official
ALAN MATHIS
CHIEF EXECUTIVE OFFICER
Phone: (203) 851-2077
Updated
Identifiers

Identifiers for LIBERATION PROGRAMS INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCT004259025
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)
CT 0271

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.