Center for Family & Individual Psychotherapy, LLC
Organization Active NPI Psychologist · Vernon, CT
NPI 1275717019 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1275717019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- 703 (CT)
- Legal business name
- CENTER FOR FAMILY & INDIVIDUAL PSYCHOTHERAPY, LLC
- Practice address
- 76 S Frontage Rd
Vernon, CT 06066-5535 - Phone
- (860) 872-4570
- Fax
- (860) 896-1023
- NPI assigned
- Dec 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph Anthony Horton, PH.D.
- Title
- Clinical Psychologist
- Phone
- (860) 872-4570
National Provider Directory
Locations
76 S Frontage Rd
Vernon, CT 06066
Phone (860) 306-4414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | 703 | CT | Yes |
Addresses
Primary practice location
76 S Frontage Rd
Vernon, CT 06066-5535
Mailing address
76 South Frontage Road
P.O. Box 2333
Vernon, CT 06066-2250
Phone (860) 872-4570
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06000703CT02 | Other | CT | BCBS |
| 62484313 | Other | CT | UNITED BEHAVIORAL HEALTH |
| 133603 | Other | CT | VALUE OPTIONS |
| A379004 | Other | CT | OXFORD |
| 62741 | Other | CT | CIGNA BEHAVIORAL HEALTH |
| 4534633 | Other | CT | AETNA |
Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.