Leonard G. Guitar, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001434 Issued in CT

Practice address

154 Main St
Old Saybrook, CT 06475-2373

Phone

(860) 358-3923

Fax

(860) 510-0628

NPI assigned

Jan 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Leonard Griswold Guitar Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1164570339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PARK SIDE DR",
            "city": "LYME",
            "state": "CT",
            "postal_code": "063713429",
            "telephone_number": "860-434-0377",
            "fax_number": "860-434-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 MAIN ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752373",
            "telephone_number": "860-358-3923",
            "fax_number": "860-510-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUITAR",
        "first_name": "LEONARD",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4118049",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEONARD",
            "last_name": "GUITAR",
            "middle_name": "GRISWOLD",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chelsea Wright Graham
• James Henry Gratton
• Jennifer P Gray, MD
• Jeffrey Alfonso Guance, LMSW
• Guiding Star Network, LLC
• Harbor Home Care Co.
• Carla Harper, LPC
• Marjorie Glosband Hart, LCSW
• Lucille Wymer Hartman, PTA
• Lucinda L Hautaniemi, MD

• Clinical Psychologist in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.