Individual provider Active NPI

Bidossessi(Bido) E Aguessy, PSYD

  • Counseling Psychologist
  • Hartford, CT
National Provider Identifier
1154009884
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6486 Issued in CT
Practice address
151 New Park Ave Ste 120
Hartford, CT 06106-2174
Phone
(973) 873-3933
NPI assigned
Jul 11, 2023
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6486 CT Primary

Addresses

Primary practice location

151 New Park Ave Ste 120
Hartford, CT 06106-2174

Mailing address

151 New Park Ave Ste 120
Hartford, CT 06106-2174
Phone (973) 873-3933

Other practice location 1

33 Pratt St
Glastonbury, CT 06033-1014
Phone (973) 873-3933

Other practice location 2

16 Prospect St
Bloomfield, CT 06002-3016
Phone (973) 873-3933

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Center for Grief and Hospice Counseling, LLC Single Specialty CurrentSince Jan 21, 2024 Accepting new patients

Locations

151 New Park Ave
Ste 120
Hartford, CT 06106
Phone (516) 652-2100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1154009884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NEW PARK AVE STE 120",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062174",
            "telephone_number": "973-873-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NEW PARK AVE STE 120",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062174",
            "telephone_number": "973-873-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Pratt St",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060331014",
            "country_code": "US",
            "telephone_number": "973-873-3933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "CT",
            "postal_code": "060023016",
            "country_code": "US",
            "telephone_number": "973-873-3933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUESSY",
        "first_name": "BIDOSSESSI(BIDO)",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CT",
            "license": "6486",
            "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 Jan 16, 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.

Verify at the official NPI Registry.