CONNECTICUT PSYCHOLOGICAL ASSOCIATES, LLC (NPI# 1689079774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689079774 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT PSYCHOLOGICAL ASSOCIATES, LLC |
| Practice Address |
4 Forest Park Drive Farmington CT 06032-1443 |
| Mailing Address |
5 Florence Way Farmington CT 06032-3443 |
| Practice Telephone | 8602353395 |
| Practice Fax Number | 8885042375 |
| Mailing Telephone | 8602353395 |
| Mailing Fax Number | 8885042375 |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |
| Authorized Official Name | DR. CHRISTINE L. GILLIES (PRESIDENT) |
| Authorized Official Telephone | 8602353395 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TF0000X |
Psychologist Specialization: Family |
003346 | CT | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
003346 | CT | Behavioral Health & Social Service Providers |
| Street Address |
4 FOREST PARK DRIVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487689949 | Robert Martin Scarpati | Optometrist | 4 Forest Park Drive, Farmington, CT 06032-1428 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700275682 | Talya Steinberg | Psychologist | 4109 Old Mission Rd, Farmington, NM 87401-2346 | 2015-01-15 |
| 1447506621 | Alisa Anne O'riley | Psychologist | 1130 Willow Brook Bnd, Farmington, NY 14425-9064 | 2012-07-25 |
| 1306144944 | Michael James Moravecek | Psychologist | 24 Woods Run, Farmington, CT 06032-2731 | 2011-03-07 |
| 1073818175 | Diane W Williams Psyd PC D/b/a Integrative Mental Health | Psychologist | 3001 Northridge Dr Ste A, Farmington, NM 87401-2084 | 2011-01-20 |
| 1346574589 | Amy C Beaulieu | Psychologist | 3 Forest Park Dr, Farmington, CT 06032-1468 | 2009-09-21 |
| 1164665253 | Sandra Scantling | Psychologist | 778 Farmington Ave, Farmington, CT 06032-2342 | 2009-04-20 |
| 1952554040 | Aaron Michael Shepherd | Psychologist | 38345 West 10 Mile Road Suite 150, Farmington, MI 48335 | 2008-11-03 |
| 1679724256 | Michaelene Renee Ruhl | Psychologist | 33335 Grand River Ave, Farmington, MI 48336-3194 | 2008-10-01 |
| 1982869152 | Kimberly S.b. Corey | Psychologist | 1 Oakland Ave, Farmington, CT 06032-1720 | 2008-07-27 |
| 1346256591 | David Coron | Psychologist | 6137 County Road 41, Farmington, NY 14425-8931 | 2006-07-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
Please comment or provide details below to improve the information on CONNECTICUT PSYCHOLOGICAL ASSOCIATES, LLC.
| 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.