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LIBERATION PROGRAMS INC
NPI 1407978356
Clinic/Center - Adolescent and Children Mental Health in Stamford, CT

Active since April 04, 2007CLIA 07D1071342 · Waiver
115 MAIN ST, STAMFORD, CT 06901(203) 356-1980(203) 967-9476 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Liberation Programs Inc NPPES

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

LIBERATION PROGRAMS INC (NPI 1407978356), doing business as Liberation Meridian Guenster, is a healthcare organization registered as an adolescent and children mental health in Stamford, Connecticut and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Alan Mathis, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1407978356
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameLIBERATION PROGRAMS INC
Location Address115 MAIN STStamford, CT 06901-2818
Mailing Address4 Elmcrest TerNorwalk, CT 06850-3908 · (203) 851-2077 · Fax (203) 851-2082
Phone(203) 356-1980
Fax(203) 967-9476
Organization SubpartNo
Authorized OfficialAlan MathisChief Executive Officer · (203) 851-2077
Enumeration DateApril 4, 2007
Last NPPES UpdateJune 27, 2008
✔ NPI 1407978356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in CT · 0324
Definition
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.
115 MAIN ST, Stamford, CT 06901
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Other Names 1

Former Legal Business NameLiberation Meridian Guenster

Other Identifiers 1

Medicaid004258366CT

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D1071342

Liberation Programs Inc C/O Marlene Bent, Mha · Bridgeport, CT
Active · expires Jul 23, 2027
CLIA Number07D1071342
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorClive Johnson
Laboratory Phone(203) 356-1980
Laboratory LocationLiberation Programs Inc C/O Marlene Bent, Mha399 Mill Hill Ave, Bridgeport, CT 06610
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MR. IAN ALEXANDER WOJCIK LPCA
Counselor (Professional)
115 MAIN ST
STAMFORD, CT 06901
Western Connecticut Planning Region (475) 294-7052
LIBERATION PROGRAMS INC
Clinic/Center (Adult Mental Health)
115 MAIN ST
STAMFORD, CT 06901
Western Connecticut Planning Region (203) 356-1980
LIBERATION PROGRAMS INC
Counselor (Addiction (Substance Use Disorder))
115 MAIN ST
STAMFORD, CT 06901
Western Connecticut Planning Region (203) 356-1980
LIBERATION PROGRAMS INC
Counselor (Addiction (Substance Use Disorder))
115 MAIN ST
STAMFORD, CT 06901
Western Connecticut Planning Region (203) 356-1980

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 Liberation Programs Inc's NPI number?

The NPI number for Liberation Programs Inc is 1407978356. It was assigned to this organization in the NPPES registry on April 4, 2007. The provider was formerly known as Liberation Meridian Guenster.

Where is Liberation Programs Inc located?

Liberation Programs Inc is located at 115 Main St, Stamford, CT 06901. The listed phone number is (203) 356-1980.

What is Liberation Programs Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Does Liberation Programs Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1071342) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberation Programs Inc was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.