Organization Active NPI

CT Resource Group LLC

  • Psychologist
  • Waterbury, CT
National Provider Identifier
1275544488
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CT RESOURCE GROUP LLC
Practice address
133 Scovill St
Ste 211
Waterbury, CT 06706-1127
Phone
(203) 573-9521
Fax
(203) 573-8708
NPI assigned
Aug 11, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Sidney S Horowitz, PHD
Title
General Partner
Phone
(203) 573-9521

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

133 Scovill St
Ste 211
Waterbury, CT 06706
Phone (203) 573-9521

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

133 Scovill St
Ste 211
Waterbury, CT 06706-1127

Mailing address

133 Scovill St
Ste 211
Waterbury, CT 06706-1127
Phone (203) 573-9521

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
004188183MedicaidCT
50CONNRESCT01OtherCTBLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2012.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1275544488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SCOVILL ST",
            "address_2": "STE 211",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061127",
            "telephone_number": "203-573-9521",
            "fax_number": "203-573-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 SCOVILL ST",
            "address_2": "STE 211",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061127",
            "telephone_number": "203-573-9521",
            "fax_number": "203-573-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT RESOURCE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "203-573-9521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004188183",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "50CONNRESCT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.