Organization Active NPI

Mindful Connections Psychotherapy, PLLC

  • Clinical Psychologist
  • Hartford, CT
National Provider Identifier
1316568660
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MINDFUL CONNECTIONS PSYCHOTHERAPY, PLLC
Practice address
151 New Park Avenue
Suite 117
Hartford, CT 06106-2170
Phone
(407) 913-4396
NPI assigned
Apr 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Authorized official

Name
Angelica Valentin-Colon, PSY.D.NPI 1801165469
Title
Licensed Psychologist
Phone
(407) 913-4396

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

151 New Park Avenue
Suite 117
Hartford, CT 06106-2170

Mailing address

151 New Park Avenue
Suite 117
Hartford, CT 06106-2152
Phone (407) 913-4396

National Provider Directory

National Provider Directory

Locations

151 New Park Ave
Ste 117
Hartford, CT 06106
Phone (407) 913-4396

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": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1316568660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NEW PARK AVENUE",
            "address_2": "SUITE 117",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062152",
            "telephone_number": "407-913-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NEW PARK AVENUE",
            "address_2": "SUITE 117",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062170",
            "telephone_number": "407-913-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CONNECTIONS PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "VALENTIN-COLON",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "407-913-4396",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 12, 2020; 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.