Organization Active NPI

Central CT Therapeutic Services, LLC

  • Psychologist
  • Southington, CT
National Provider Identifier
1235014051
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CENTRAL CT THERAPEUTIC SERVICES, LLC
Practice address
124 Delahunty Dr
Southington, CT 06489-3667
Phone
(860) 385-1620
NPI assigned
Aug 11, 2025
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Dr. Alicia Jean Larose, PSYD
Title
Psycholoigst
Phone
(860) 385-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

124 Delahunty Dr
Southington, CT 06489-3667

Mailing address

2389 Main St
Glastonbury, CT 06033-4617
Phone (860) 385-1620

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1235014051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2389 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334617",
            "telephone_number": "860-385-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 DELAHUNTY DR",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893667",
            "telephone_number": "860-385-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CT THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-10",
        "status": "A",
        "authorized_official_last_name": "LAROSE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PSYCHOLOIGST",
        "authorized_official_telephone_number": "860-385-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.