Pediatric Psychology Of Connecticut, LLC
Psychologist, Clinical in New Haven, Connecticut
1679839229- Practice location
- 413 Orange St, Suite 1, New Haven, CT 06511-6424
- Phone
- 888-342-6002
- Fax
- 347-344-6594
- Last updated
- April 9, 2012
Pediatric Psychology Of Connecticut, LLC is a healthcare organization based in New Haven, CT. Pediatric Psychology Of Connecticut, LLC practices in New Haven, CT. The NPI Number for Pediatric Psychology Of Connecticut, LLC is 1679839229 and holds a License No. 3139 (CT). The current practice location address for Pediatric Psychology Of Connecticut, LLC is 413 Orange St, Suite 1, New Haven, CT 06511-6424 and can be reached out via phone at 888-342-6002 and via fax at 347-344-6594.
Provider Profile Details
- NPI Number
- 1679839229
- Provider Name
- Pediatric Psychology Of Connecticut, LLC
- Provider Entity Type
- Organization
- Address
- 413 Orange St, Suite 1, New Haven, CT 06511-6424
- Phone Number
- 888-342-6002
- Fax Number
- 347-344-6594
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Mark Vincent Grudberg, PHD · Member · 888-342-6002
- Provider Enumeration Date
- April 9, 2012
- Last Update Date
- April 9, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 413 Orange St
Suite 1
New Haven, CT 06511-6424 - City
- New Haven
- State
- Connecticut
- Zip
- 06511-6424
- Phone Number
- 888-342-6002
- Fax Number
- 347-344-6594
Provider Business Mailing Address Details
- Address
- Po Box 4098
Woodbridge, CT 06525-0298 - City
- Woodbridge
- State
- CT
- Zip
- 06525-0298
- Phone Number
- 888-342-6002
- Fax Number
- 347-344-6594
License Information
- License Number
- 3139
- License State
- CT
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near New Haven, CT
View all Psychologist, Clinical providers in New Haven →- Alan H. Lovins Ph D P CPsychologist, Clinical · NPI 1104157833
- Alexandra Meglio, PSYDPsychologist, Clinical · NPI 1699648295
- Amanda CaryPsychologist, Clinical · NPI 1457044612
- Arielle Baskin-Sommers, PHDPsychologist, Clinical · NPI 1023815859
- Arlene R Bruskin, PHDPsychologist, Clinical · NPI 1629063615
- Ayse G Yucelen, PSYDPsychologist, Clinical · NPI 1326191222
Frequently Asked Questions
What is the NPI number of Pediatric Psychology Of Connecticut, LLC?
The NPI number of Pediatric Psychology Of Connecticut, LLC is 1679839229. It was assigned on April 9, 2012 and is currently active in the NPPES registry.
What is the specialty of Pediatric Psychology Of Connecticut, LLC?
Pediatric Psychology Of Connecticut, LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 3139.
Where does Pediatric Psychology Of Connecticut, LLC practice?
The practice location is 413 Orange St, Suite 1, New Haven, CT 06511-6424. The office can be reached at 888-342-6002 (phone) or 347-344-6594 (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 1679839229 directly on the NPPES registry website.