Organization Active NPI

Refuge Psychological Services

  • Psychologist
  • South Windsor, CT
National Provider Identifier
1285199604
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
REFUGE PSYCHOLOGICAL SERVICES
Practice address
1741 Ellington Rd Ste 1
South Windsor, CT 06074-2720
Phone
(860) 880-2990
NPI assigned
Feb 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Dr. Genaro J Adrian, PHD.NPI 1467523589
Title
Psychologist
Phone
(860) 880-2990

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

Addresses

Primary practice location

1741 Ellington Rd Ste 1
South Windsor, CT 06074-2720

Mailing address

1741 Ellington Rd Ste 1
South Windsor, CT 06074-2720
Phone (860) 880-2990

National Provider Directory

National Provider Directory

Locations

1741 Ellington Rd
Ste 1
South Windsor, CT 06074
Phone (860) 263-3603

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1285199604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 ELLINGTON RD STE 1",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742720",
            "telephone_number": "860-880-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 ELLINGTON RD STE 1",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742720",
            "telephone_number": "860-880-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUGE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "ADRIAN",
        "authorized_official_first_name": "GENARO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "860-880-2990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.