Organization Active NPI

Applied Behavioral Sciences LLC

  • Clinical Psychologist
  • West Hartford, CT
National Provider Identifier
1386782977
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002295 Issued in CT
Legal business name
APPLIED BEHAVIORAL SCIENCES LLC
Practice address
68 S Main St BSMT 100
West Hartford, CT 06107-2430
Phone
(860) 236-7333
Fax
(203) 439-2087
NPI assigned
Feb 3, 2007
Last updated
Feb 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Dr. Peter D Radasch, PSY.D.NPI 1336248806
Title
Vice President
Phone
(860) 236-7333

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 002295 CT Primary
Forensic Psychologist 103TF0200X 002394 CT
Clinical Social Worker 1041C0700X 006385 CT

Addresses

Primary practice location

68 S Main St BSMT 100
West Hartford, CT 06107-2430

Mailing address

68 S Main St BSMT 100
West Hartford, CT 06107-2430
Phone (860) 236-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070621000265 CT Part B Supplier - Clinic/Group Practice 8224137955 Receives reassigned benefits from 1 practitioner
Practice locations: East Hartford, CT; West Hartford, CT

National Provider Directory

National Provider Directory

Locations

68 S Main St
Bsmt 100
West Htfd, CT 06107
Phone (860) 236-7333

846 Farmington Ave
Ste 3
West Htfd, CT 06119
Phone (860) 523-9588

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1386782977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S MAIN ST BSMT 100",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072430",
            "telephone_number": "860-236-7333",
            "fax_number": "203-439-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 S MAIN ST BSMT 100",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072430",
            "telephone_number": "860-236-7333",
            "fax_number": "203-439-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED BEHAVIORAL SCIENCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "RADASCH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "860-236-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002295",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CT",
            "license": "002394",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.