Center for Multicultural Psychological Services
Organization Active NPI Psychologist · Wethersfield, CT
NPI 1154540300 · NPPES record last updated Sep 23, 2021
Key facts
- NPI
- 1154540300
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- 001975 (CT)
- Legal business name
- CENTER FOR MULTICULTURAL PSYCHOLOGICAL SERVICES
- Practice address
- 415 Silas Deane Hwy
Suite 402
Wethersfield, CT 06109-2124 - Phone
- (860) 721-0606
- Fax
- (860) 721-0202
- NPI assigned
- Apr 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Migdalia Rivera-Arzola, M.D
- Title
- Psychologist
- Phone
- (860) 721-0606
Corporate family (same tax ID) 2
Practitioners 1
-
Migdalia Rivera Arzola, P.H.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040323000942 | CT | Part B Supplier - Clinic/Group Practice | 2769373364 |
Receives reassigned benefits from 1 practitioner Practice locations: Wethersfield, CT |
National Provider Directory
- Tax ID family
- Center for Multicultural Psychological Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | 001975 | CT | Yes |
Addresses
Primary practice location
415 Silas Deane Hwy
Suite 402
Wethersfield, CT 06109-2124
Mailing address
415 Silas Deane Hwy Ste 105
Wethersfield, CT 06109-2119
Phone (860) 721-0606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004254182 | Medicaid | CT |
Other providers in Wethersfield, CT
- Jacob James Carpenter
- Elaine Carroll
- Brooke Carson
- Julie Casertano
- Victoria A Cassano
- Center for Multicultural Psychological Services, LLC
- Center for Multicultural Psychological Services,LLC
- Center for Multicultural Psychological Services,LLC
- Center for Multicultural Psychological Services,LLC
- Chaterdon-Perry LLC
All providers in Wethersfield, CT · Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.