Ellen Coloccia, Psy D LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2853 Issued in CT

Legal business name

ELLEN COLOCCIA, PSY D LLC

Practice address

84 Canal Rd
Granby, CT 06035-2220

Phone

(860) 904-3089

NPI assigned

Jan 10, 2014

Last updated

Nov 16, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ellen G Coloccia, PSY D

Title

Owner

Phone

(860) 633-2810

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1003238072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CANAL RD",
            "city": "GRANBY",
            "state": "CT",
            "postal_code": "060352220",
            "telephone_number": "860-904-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 CANAL RD",
            "city": "GRANBY",
            "state": "CT",
            "postal_code": "060352220",
            "telephone_number": "860-904-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN COLOCCIA, PSY D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "COLOCCIA",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-633-2810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "2853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Denalsky
• Eastern Rehabilitation Network
• Sharon Eastman
• Eaton Eyecare of Granby
• David Earl Eaton Jr., O.D.
• Nicole Ellrod, PT
• Kenneth Edward Endres, D.D.S.
• Chelsea Evans Reinhardt, RN
• Erin Elizabeth Evans
• Farley Counseling Services

• Clinical Psychologist in Granby, CT
• Providers in Granby, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.