Active NPI
Kyanna Yazmin Guillen
- Psychologist
- Hartford, CT
National Provider Identifier
1114778677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 367 Albany Ave Apt 1
Hartford, CT 06120-2564 - Phone
- (781) 513-2871
- NPI assigned
- Apr 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
367 Albany Ave Apt 1
Hartford, CT 06120-2564
Mailing address
367 Albany Ave Apt 1
Hartford, CT 06120-2564
Phone (781) 513-2871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1114778677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 ALBANY AVE APT 1",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061202564",
"telephone_number": "781-513-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 ALBANY AVE APT 1",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061202564",
"telephone_number": "781-513-2871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLEN",
"first_name": "KYANNA",
"middle_name": "YAZMIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-01",
"last_updated": "2024-04-01",
"certification_date": "2024-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.