Active NPIIndividual providerSole proprietor

Dr. Bruce A Backus, PHD

Psychologist in Hartford, Connecticut

NPI Number1518988765
Practice location
674 Prospect Ave, Hartford, CT 06105-4288
Fax
860-233-2371
Last updated
July 8, 2007

Bruce A. Backus is a Psychologist based in Hartford, CT. Bruce A. Backus practices in Hartford, CT and has the professional credentials of PHD. The NPI Number for Bruce A. Backus is 1518988765 and holds a License No. 000-998 (CT). The current practice location address for Bruce A. Backus is 674 Prospect Ave, Hartford, CT 06105-4288 and can be reached out via phone at 860-233-6228 and via fax at 860-233-2371.

Provider Profile Details

NPI Number
1518988765
Provider Name
Bruce A. Backus
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
674 Prospect Ave, Hartford, CT 06105-4288
Phone Number
860-233-6228
Fax Number
860-233-2371
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 22, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
674 Prospect Ave
Hartford, CT 06105-4288
Zip
06105-4288
Phone Number
860-233-6228
Fax Number
860-233-2371
Hartford, CT 06105Get directions →

Provider Business Mailing Address Details

Address
95 Punch Brook RD
Burlington, CT 06013-1814
City
Burlington
State
CT
Zip
06013-1814
Phone Number
860-673-5949

License Information

License Number
000-998
License State
CT
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Bruce A Backus, PHD?

The NPI number of Dr. Bruce A Backus, PHD is 1518988765. It was assigned on July 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Bruce A Backus, PHD?

Dr. Bruce A Backus, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in CT under license number 000-998.

Where does Dr. Bruce A Backus, PHD practice?

The practice location is 674 Prospect Ave, Hartford, CT 06105-4288. The office can be reached at 860-233-6228 (phone) or 860-233-2371 (fax).

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 1518988765 directly on the NPPES registry website.

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