Peter D Radasch, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

002295 Issued in CT

Practice address

41 N Main St
West Hartford, CT 06107-1972

Phone

(860) 539-0185

Fax

(860) 439-2087

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Applied Behavioral Sciences LLC

  • Clinical Psychologist
  • West Hartford, CT
  • NPI 1386782977
  NPD Authorized official
• Jill Shalan, PHD, PLLC

  • Clinical Psychologist
  • West Hartford, CT
  • NPI 1235646316
  NPD (past)
• Medoptions Behavioral Health Assoc, LLC

  • Nurse Practitioner
  • Old Saybrook, CT
  • NPI 1588604060
  NPD (past)
• Peter Tolisano PSYD LLC

  • Community/Behavioral Health Agency
  • West Hartford, CT
  • NPI 1811379662
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1336248806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 WESTERN AVE APT 715",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981213304",
            "telephone_number": "860-236-7333",
            "fax_number": "860-439-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071972",
            "telephone_number": "860-539-0185",
            "fax_number": "860-439-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADASCH",
        "first_name": "PETER",
        "middle_name": "D",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. Kenneth Lafrenier M.D. P.C.
• Richelle Raagas
• Rabia Kaur DMD PLLC
• Rachael Farina LLC
• Rachael Ortiz,LLC
• Shauna Rafferty, NP-C
• Melissa Rahming, LADC
• Aruna S Ramanan, MD
• Chitralaka Ramanan, MD
• Luis Armando Ramirez, MSW

• Psychologist in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.