Quinnipiac Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002055 Issued in CT

Legal business name

QUINNIPIAC PSYCHOLOGICAL SERVICES, LLC

Practice address

3074 Whitney Ave
Building Two
Hamden, CT 06518-2391

Phone

(203) 287-9009

NPI assigned

Apr 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Brent Farnsworth, PH.D.NPI 1679587109

Title

Sole Proprietor

Phone

(203) 787-9009

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Brent Farnsworth, PHD

  • Psychologist
  • San Antonio, TX
  • NPI 1679587109
  NPD (past) Authorized official

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1285878306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 WHITNEY AVE",
            "address_2": "BUILDING TWO",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182391",
            "telephone_number": "203-287-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 WHITNEY AVE",
            "address_2": "BUILDING TWO",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182391",
            "telephone_number": "203-287-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINNIPIAC PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "FARNSWORTH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "203-787-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality Counseling, LLC
• Grace Marie Queiroz, PA-C
• Quest Diagnostics LLC
• Jonathan Lawrence Quiles, APRN
• Quinnipiac Internal Medicine PC
• Janet Quinones-Tobin, MS, CCC/SLP
• Diane Quintana, LMSW
• Quintessential Reasoning ,LLC
• Rachel Sprunger
• Radiant Wellness Center

• Clinical Psychologist in Hamden, CT
• Providers in Hamden, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.