HARTFORD PSYCHOLOGICAL SERVICES LLC. (NPI# 1649493115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649493115 |
Entity Type | Organization |
Organization Name | HARTFORD PSYCHOLOGICAL SERVICES LLC. |
Practice Address |
191 Franklin Ave Suite Number 3 Hartford CT 06114-1386 |
Practice Telephone | 8602960094 |
Practice Fax Number | 8602967125 |
Mailing Telephone | 8602960094 |
Mailing Fax Number | 8602967125 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. RAFAEL MORA DE JESUS (DIRECTOR) |
Authorized Official Telephone | 8602960094 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
001877 | CT | Behavioral Health & Social Service Providers |
Street Address |
191 FRANKLIN AVE SUITE NUMBER 3 |
City | HARTFORD |
State | CT |
Zip Code | 06114-1386 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790723476 | Robert Anthony Villanova | Dentist | 191 Franklin Ave, Hartford, CT 06114-1373 | 2006-06-03 |
1386292654 | Jin Suk Jung | Dentist | 191 Franklin Ave, Hartford, CT 06114-1386 | 2019-08-29 |
1871807693 | Seung Yub Song | Dentist | 191 Franklin Ave, Hartford, CT 06114-1386 | 2010-08-04 |
1245569748 | Sph2 Enterprise, LLC | Dentist | 191 Franklin Ave, Hartford, CT 06114 | 2009-12-11 |
1871736132 | Mabel Lucia Toledo | Speech-Language Pathologist | 191 Franklin Ave, Suite 3, Hartford, CT 06114-1386 | 2009-04-15 |
1336362987 | Sharon Brazeal | Social Worker | 191 Franklin Ave, Suite 3, Hartford, CT 06114-1386 | 2007-04-11 |
1174746739 | Gail Brooks | Social Worker | 191 Franklin Ave, Suite Num. 3, Hartford, CT 06114-1386 | 2007-04-11 |
1073671939 | Colleen Keller Dreyfus | Psychologist | 191 Franklin Ave, Hartford, CT 06114-1386 | 2006-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164912846 | Ann-marie Brown | Counselor | One Congress Street, Suite 210, Hartford, CT 06114 | 2018-05-17 |
1154847044 | Na Won Lee | Dentist | 191 Franklin Ave., Care Dental Center, Hartford, CT 06114 | 2017-08-22 |
1386188522 | Poised Ondemand | Case Management | 41 Bond Street, Apt 3w, Hartford, CT 06114 | 2016-12-07 |
1619377348 | Morgan Anamoah Arhin | Social Worker | 331 Wethersfield Avenue, The Village for Families & Children, Inc., Hartford, CT 06114 | 2014-08-29 |
1972835254 | Eduardo Rosa | Counselor | 90 Webster Street, Hartford, CT 06114 | 2010-02-11 |
1134314651 | Ellen R Bent | Counselor | 407 Wethersfield Avenue, Hartford, CT 06114 | 2007-09-07 |
1124241963 | Hemal Vaishnav | Physical Therapist | 419 Franklin Avenue, Hartford, CT 06114 | 2007-04-10 |
1124143003 | Nalini Y Masih | Pathology | Disability Determination Services, 309 Wawarme Ave, Hartford, CT 06114 | 2007-03-20 |
1720121122 | Virginia Howell Rittner | Pediatrics | Ssa, 309 Wawarme Ave, Hartford, CT 06114 | 2007-02-15 |
1851432355 | Maybelle E Mercado | Counselor | 901 Wethersfield Ave 2nd Floor, Suite 2l, Hartford, CT 06114 | 2007-02-09 |
Find all providers in zip 06114 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366065963 | Leah Elizabeth Morgan | Psychologist | 56 Arbor St Ste 100-a, Hartford, CT 06106-1222 | 2020-05-19 |
1306318670 | Integrative Psychological Center LLC | Psychologist | 44 Capitol Ave Ste 402, Hartford, CT 06106-1764 | 2018-12-26 |
1326553983 | Marissa Sicley-rogers | Psychologist | 200 Retreat Ave Bldg 5th, Hartford, CT 06106-3309 | 2017-12-05 |
1508394834 | Ct Psychological Consulting Services, LLC | Psychologist | 210 Wethersfield Ave Fl 2, Hartford, CT 06114-1113 | 2017-05-31 |
1891049003 | Randall Kent Wallace | Psychologist | 36 Russ St, Hartford, CT 06106-1520 | 2012-11-09 |
1326399213 | Kathryne Stuart Marinchak | Psychologist | 135 Allen Pl, Hartford, CT 06106-3103 | 2012-10-02 |
1255681813 | Silvia Corbera Lopez | Psychologist | 200 Retreat Avnue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3310 | 2012-09-11 |
1801165469 | Angelica Valentin-colon | Psychologist | 151 New Park Avenue, Suite 117, Hartford, CT 06106-2152 | 2011-12-27 |
1184776163 | Stephen Michael Humphrey | Psychologist | 602 New Britain Ave, Hartford, CT 06106-4033 | 2007-01-18 |
1275609711 | Sean Timothy Hart | Psychologist | 864 Wethersfield Avenue First Floor, Hartford Center for Psychotherapy, Hartford, CT 06114 | 2006-11-27 |
Find all providers in HARTFORD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.