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OMATA LLC NPI 1689163388


NPI Information

NPI: 1689163388
Provider Name: OMATA LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1 FELLOWS RD APT 47
OAKDALE, CT
ZIP 06370
Phone: (860) 334-5900
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OMATA LLC is a professional counselor in Oakdale, CT. OMATA LLC NPI is 1689163388. The provider is registered as an organization entity type.

The provider's business location address is:

1 FELLOWS RD APT 47
OAKDALE, CT
ZIP 06370-624
Phone: (860) 334-5900

The provider's authorized official is Morgan Ann Ajello .
The authorized official title is Owner and has the following contact phone number (860) 334-5900.

The enumeration date for this NPI number is 5/8/2018 and was last updated on 6/1/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)46.003444CONNECTICUTNo
2101YP2500XCounselorProfessionalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
146.003444MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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