Active NPI
Kevin K Tsang, PSY.D.
- Psychologist
- Hartford, CT
National Provider Identifier
1295044683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3060
- Practice address
- 282 Washington Street
Connecticut Children'S Medical Center
Hartford, CT 06106-5037 - Phone
- (860) 545-8660
- NPI assigned
- Oct 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3060 | CT | Primary |
Addresses
Primary practice location
282 Washington Street
Connecticut Children'S Medical Center
Hartford, CT 06106-5037
Mailing address
P.O. Box 415933
Hartford Hospital Professional Services
Boston, MA 02241-5933
Phone (860) 545-7602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008030603 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3060 | CT | MD | Psychologist |
| 10176 | MA | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richmond Psychiatry Group Practice | Psychologist | Current | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Boston, MA
- NPI 1629148036
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1295044683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 415933",
"address_2": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415933",
"telephone_number": "860-545-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 WASHINGTON STREET",
"address_2": "CONNECTICUT CHILDREN'S MEDICAL CENTER",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065037",
"telephone_number": "860-545-8660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSANG",
"first_name": "KEVIN",
"middle_name": "K",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-01",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "3060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008030603",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.