Hartford Psychological Services, Llc
LBN: Hartford Psychological Services, Llc
Hartford Psychological Services, Llc is an health care organization with primary practice located at 210 Wethersfield Ave , Hartford CT 06114-1113. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Hartford Psychological Services, Llc can be contacted via phone (860) 296-0094, or through Mora De Jesus, Rafael via phone (860) 296-0094.
Contact Information
Primary practice address
210 Wethersfield Ave
Hartford CT 06114-1113
Phone: (860) 296-0094
Fax: (860) 206-1184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 103T00000X | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1041C0700X | Connecticut |
Profile Details
| NPI number | 1891989026 |
|---|---|
| LBN Legal business name | Hartford Psychological Services, Llc |
| DBA Doing business as | |
| Authorized official | Mora De Jesus, Rafael PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2007 |
| Last updated | Jan 26th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891989026 | NPPES |
| Connecticut | MEDICAID | 004222866 |
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