Organization Active NPI

Long Point Psychiatric Services LLC

Doing business as Longpoint Psychiatric Services

  • Psychiatry Physician
  • Groton, CT
National Provider Identifier
1427764877
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LONG POINT PSYCHIATRIC SERVICES LLC
Doing business as
Longpoint Psychiatric Services
Practice address
112 New London Rd
Groton, CT 06340-4869
Phone
(860) 215-1410
Fax
(860) 661-4384
NPI assigned
Jan 30, 2023
Last updated
May 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Mr. William Kornegay, APRN, PMHNP
Title
Pmhnp
Phone
(860) 215-1410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

112 New London Rd
Groton, CT 06340-4869

Mailing address

54 Ronald Rd
Groton, CT 06340-3819
Phone (860) 215-1410

Other names 1

  • Longpoint Psychiatric Services Doing business as

National Provider Directory

National Provider Directory

Locations

112 New London Rd
Groton, CT 06340
Phone (860) 215-1410

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1427764877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 RONALD RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403819",
            "telephone_number": "860-215-1410",
            "fax_number": "860-661-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 NEW LONDON RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404869",
            "telephone_number": "860-215-1410",
            "fax_number": "860-661-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG POINT PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "KORNEGAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "860-215-1410",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longpoint Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Longpoint Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.