Providercare Plus PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PROVIDERCARE PLUS PC

Practice address

152 Deming St
Providercare Plus
South Windsor, CT 06074-3740

Phone

(860) 644-4472

Fax

(860) 644-3001

NPI assigned

Jan 12, 2006

Last updated

Feb 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip S. Cardamone, PSYDNPI 1891772844

Title

Director & Clinical Psychologist

Phone

(860) 644-4472

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Philip S. Cardamone, PSYD

  • Psychologist
  • South Windsor, CT
  • NPI 1891772844
  Authorized official Same address or phone

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1396724811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 DEMING ST",
            "address_2": "PROVIDERCARE PLUS",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743740",
            "telephone_number": "860-644-4472",
            "fax_number": "860-644-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 DEMING ST",
            "address_2": "PROVIDERCARE PLUS",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743740",
            "telephone_number": "860-644-4472",
            "fax_number": "860-644-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDERCARE PLUS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "CARDAMONE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR & CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "860-644-4472",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004398055",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Practice the Pause, LLC
• Madhuri Pratinidhi, MD
• Linda K Prella
• Allison Marie Price
• Prospect Manchester Hospital, Inc.
• Darlene Przasnyski
• Timothy Edward Quan, M.D.
• Marcy Lynn Qureshi, D.O.
• Brandon Raymond Ragozzino, PA-C
• Rapha Behavioral Services LLC

• Psychologist in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.