FREDERICK STREETS
NPI 1003459389
Counselor - Pastoral in Stratford, CT

Active since October 19, 2019
602 NICHOLS AVE, STRATFORD, CT 06614(203) 296-2430 Get Directions Write a Review

NPPES record last updated: October 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Frederick Streets NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK STREETS (NPI 1003459389) is an individual pastoral provider in Stratford, Connecticut, licensed in Connecticut (002270) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1003459389
Entity TypeIndividualMale
Primary Taxonomy101YP1600X
Provider Legal NameFREDERICK STREETS
Location Address602 NICHOLS AVEStratford, CT 06614-3925
Mailing Address602 Nichols AveStratford, CT 06614-3925 · (203) 296-2430
Sole ProprietorYes
Enumeration DateOctober 19, 2019
NPI 1003459389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
License Licensed in CT · 002270
602 NICHOLS AVE, Stratford, CT 06614

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Streets's NPI number?

The NPI number for Frederick Streets is 1003459389. It was assigned to this individual provider in the NPPES registry on October 19, 2019.

Where is Frederick Streets located?

Frederick Streets practices at 602 Nichols Ave, Stratford, CT 06614. The listed phone number is (203) 296-2430.

What is Frederick Streets's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Frederick Streets was last updated on October 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.