Gericare Psych LLC
Psychologist, Prescribing (Medical) in Wolcott, Connecticut
1467789602- Practice location
- 464 Wolcott RD, Wolcott, CT 06716-2626
- Phone
- 203-633-4560
- Fax
- —
- Last updated
- November 9, 2009
Gericare Psych LLC is a healthcare organization based in Wolcott, CT. Gericare Psych LLC practices in Wolcott, CT. The NPI Number for Gericare Psych LLC is 1467789602. The current practice location address for Gericare Psych LLC is 464 Wolcott RD, Wolcott, CT 06716-2626 and can be reached out via phone at 203-633-4560.
Provider Profile Details
- NPI Number
- 1467789602
- Provider Name
- Gericare Psych LLC
- Provider Entity Type
- Organization
- Address
- 464 Wolcott RD, Wolcott, CT 06716-2626
- Phone Number
- 203-633-4560
- Primary Taxonomy
- Psychologist, Prescribing (Medical) · 103TP0016X
- Organization Subpart
- No
- Authorized Official
- Jonathan Brenes, MBA · Ceo · 203-633-4560
- Other Names
- Gericare Psych (Doing Business As)
- Provider Enumeration Date
- November 9, 2009
- Last Update Date
- November 9, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 464 Wolcott RD
Wolcott, CT 06716-2626 - City
- Wolcott
- State
- Connecticut
- Zip
- 06716-2626
- Phone Number
- 203-633-4560
Provider Business Mailing Address Details
- Address
- 464 Wolcott RD
Wolcott, CT 06716-2626 - City
- Wolcott
- State
- CT
- Zip
- 06716-2626
License Information
- Taxonomy (1)
- Psychologist · 103T00000X
- Taxonomy (2)
- Psychologist, Adult Development & Aging · 103TA0700X
- Taxonomy (3)
- Psychologist, Cognitive & Behavioral · 103TB0200X
- Taxonomy (4)
- Psychologist, Clinical · 103TC0700X
- Taxonomy (5)
- Psychologist, Prescribing (Medical) · 103TP0016X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Gericare Psych LLC?
The NPI number of Gericare Psych LLC is 1467789602. It was assigned on November 9, 2009 and is currently active in the NPPES registry.
What is the specialty of Gericare Psych LLC?
Gericare Psych LLC is registered under the primary taxonomy Psychologist, Prescribing (Medical) (code 103TP0016X).
Where does Gericare Psych LLC practice?
The practice location is 464 Wolcott RD, Wolcott, CT 06716-2626. The office can be reached at 203-633-4560 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467789602 directly on the NPPES registry website.