Organization Active NPI

Townshend-Lacock, Inc.

  • Clinical Psychologist
  • Madison, CT
National Provider Identifier
1306159405
Registry record updated Jul 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
000940 Issued in CT
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

Updated by the provider on Jul 17, 2010

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 000940 CT Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.