Active NPI
Joseph Patrick Lang, PHD
- Psychologist
- Norwich, CT
National Provider Identifier
1164599031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 001875
- Practice address
- 401 West Thames Street
Southeastern Mental Health Authority BLDG 301
Norwich, CT 06360 - Phone
- (860) 859-4674
- Fax
- (860) 859-4790
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 001875 | CT | Primary |
Addresses
Primary practice location
401 West Thames Street
Southeastern Mental Health Authority BLDG 301
Norwich, CT 06360
Mailing address
401 West Thames Street
Southeastern Mental Health Authority BLDG 301
Norwich, CT 06360
Phone (860) 859-4674
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001875 | CT | MD | Psychologist |
| 1875 | CT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164599031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 WEST THAMES STREET",
"address_2": "SOUTHEASTERN MENTAL HEALTH AUTHORITY BLDG 301",
"city": "NORWICH",
"state": "CT",
"postal_code": "06360",
"telephone_number": "860-859-4674",
"fax_number": "860-859-4790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 WEST THAMES STREET",
"address_2": "SOUTHEASTERN MENTAL HEALTH AUTHORITY BLDG 301",
"city": "NORWICH",
"state": "CT",
"postal_code": "06360",
"telephone_number": "860-859-4674",
"fax_number": "860-859-4790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "JOSEPH",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "001875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.