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MICHAEL JOHN FORMICA LPC
NPI 1174688311
Counselor - Mental Health in Groton, CT

Active since December 27, 2006
616 GOLD STAR HWY, GROTON, CT 06340(860) 449-0200(860) 449-1954 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Michael John Formica Lpc NPPES

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

MICHAEL JOHN FORMICA LPC (NPI 1174688311) is an individual mental health provider in Groton, Connecticut, licensed in Connecticut (000869) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1174688311
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL JOHN FORMICACredential: LPC
Location Address616 GOLD STAR HWYGroton, CT 06340-6221
Mailing Address32 Sea Crest AveNiantic, CT 06357-3808 · (203) 912-7218 · Fax (860) 449-1954
Phone(860) 449-0200
Fax(860) 449-1954
Sole ProprietorYes
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174688311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CT · 000869
616 GOLD STAR HWY, Groton, CT 06340
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CATHERINE A REARDON LMFT
Marriage & Family Therapist
616 GOLD STAR HWY
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-0200
DR. F. HENRY DORAN D.MIN, LPC
Counselor (Mental Health)
616 GOLD STAR HWY
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-0200
KAREN LEE PARKINSON LCSW
Social Worker (Clinical)
616 GOLD STAR HWY
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-0200
KATHY ANN MARTINELLI LPC
Counselor (Professional)
616 GOLD STAR HWY
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-0200
EVELYN MARIE BRIDGES LCSW
Social Worker (Clinical)
616 GOLD STAR HWY
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-0200
SHORELINE COUNSELING GROUP,LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
616 GOLD STAR HWY
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-0200
MRS. ROBIN MARIE HENNESSEY LCSW
Social Worker (Clinical)
616 GOLD STAR HWY
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-0200
MRS. ELLEN FLANAGAN CECCHINI LMFT
Marriage & Family Therapist
616 GOLD STAR HWY
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-0200

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 Michael Formica's NPI number?

The NPI number for Michael Formica is 1174688311. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Michael Formica located?

Michael Formica practices at 616 Gold Star Hwy, Groton, CT 06340. The listed phone number is (860) 449-0200.

What is Michael Formica's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Michael Formica was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.