Organization Active NPI

Vicki Garvin, PH.D., LLC

  • Community/Behavioral Health Agency
  • Glastonbury, CT
National Provider Identifier
1356691901
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
001617 Issued in CT
Legal business name
VICKI GARVIN, PH.D., LLC
Practice address
1420 Main Street
Suite 203
Glastonbury, CT 06033-3110
Phone
(860) 659-3244
NPI assigned
Sep 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Vicki Garvin, PH.D., LLC
Title
Clinical Psychologist
Phone
(860) 659-3244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 001617 CT Primary

Addresses

Primary practice location

1420 Main Street
Suite 203
Glastonbury, CT 06033-3110

Mailing address

1420 Main Street
Suite 203
Glastonbury, CT 06033
Phone (860) 659-3244

National Provider Directory

National Provider Directory

Locations

1420 Main St
Ste 203
Glastonbury, CT 06033
Phone (860) 659-3244

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": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1356691901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 MAIN STREET",
            "address_2": "SUITE 203",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-659-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 MAIN STREET",
            "address_2": "SUITE 203",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333110",
            "telephone_number": "860-659-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI GARVIN, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "860-659-3244",
        "authorized_official_credential": "PH.D., LLC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.