Organization Active NPI

Simsbury Psychotherapy, LLC

  • Clinical Psychologist
  • Simsbury, CT
National Provider Identifier
1174565550
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SIMSBURY PSYCHOTHERAPY, LLC
Practice address
920 Hopmeadow St
Simsbury, CT 06070-1825
Phone
(860) 989-7687
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sarah Jean Gamble, PH.D.
Title
Owner
Phone
(860) 989-7687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

920 Hopmeadow St
Simsbury, CT 06070-1825

Mailing address

PO Box 1196
Simsbury, CT 06070-7496
Phone (860) 989-7687

National Provider Directory

National Provider Directory

Locations

920 Hopmeadow St
Simsbury, CT 06070
Phone (860) 989-7687

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174565550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1196",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060707496",
            "telephone_number": "860-989-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 HOPMEADOW ST",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701825",
            "telephone_number": "860-989-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMSBURY PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-989-7687",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simsbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.