Active NPI
Townshend-Lacock, Inc.
- Clinical Psychologist
- Madison, CT
National Provider Identifier
1306159405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 000940
- Legal business name
- TOWNSHEND-LACOCK, INC.
- Practice address
- 147 Durham Rd
Madison, CT 06443-2675 - Phone
- (203) 245-8732
- Fax
- (203) 457-9465
- NPI assigned
- Jul 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Darrell D. Lacock, PH.D., L.C.S.W.
- Title
- President
- Phone
- (203) 245-8732
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 000940 | CT | Primary |
| Clinical Social Worker | 1041C0700X | 001164 | CT |
Addresses
Primary practice location
147 Durham Rd
Madison, CT 06443-2675
Mailing address
1420 West St
Guilford, CT 06437-1075
Phone (203) 245-8732
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279324800000",
"number": "1306159405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 WEST ST",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064371075",
"telephone_number": "203-245-8732",
"fax_number": "203-457-9465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 DURHAM RD",
"city": "MADISON",
"state": "CT",
"postal_code": "064432675",
"telephone_number": "203-245-8732",
"fax_number": "203-457-9465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWNSHEND-LACOCK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-17",
"last_updated": "2010-07-17",
"status": "A",
"authorized_official_last_name": "LACOCK",
"authorized_official_first_name": "DARRELL",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-245-8732",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D., L.C.S.W."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "000940",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "001164",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.