Active NPI
Symmetry Psychological Services
- Clinical Psychologist
- Avon, CT
National Provider Identifier
1164932786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 022206
- Legal business name
- SYMMETRY PSYCHOLOGICAL SERVICES
- Practice address
- 46 W Avon Rd Ste 302
Avon, CT 06001-3679 - Phone
- (860) 707-9115
- NPI assigned
- Oct 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brendan O'Connor, PSYD
- Title
- Psychologist
- Phone
- (860) 707-9115
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 022206 | NY | Primary |
Addresses
Primary practice location
46 W Avon Rd Ste 302
Avon, CT 06001-3679
Mailing address
46 W Avon Rd Ste 302
Avon, CT 06001-3679
Phone (860) 707-9115
National Provider Directory
National Provider DirectoryLocations
46 W Avon Rd
Ste 302
Avon, CT 06001
Phone (860) 707-9115
1289 Route 9
Ste 10
Wappingers Falls, NY 12590
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Avon, CT
- NPI 1457873358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659916800000",
"number": "1164932786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 W AVON RD STE 302",
"city": "AVON",
"state": "CT",
"postal_code": "060013679",
"telephone_number": "860-707-9115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 W AVON RD STE 302",
"city": "AVON",
"state": "CT",
"postal_code": "060013679",
"telephone_number": "860-707-9115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYMMETRY PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-10",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A",
"authorized_official_last_name": "O'CONNOR",
"authorized_official_first_name": "BRENDAN",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "860-707-9115",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.