Active NPI
Thomas John Condon, PH.D.
- Clinical Psychologist
- Brookfield, CT
National Provider Identifier
1437481587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 746
- Practice address
- 60 Old New Milford Rd
Suite 3-a
Brookfield, CT 06804-2430 - Phone
- (203) 740-9119
- Fax
- (203) 740-9659
- NPI assigned
- Jan 31, 2010
- Last updated
- Jan 31, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 746 | CT | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 746 | CT | |
| Family Psychologist | 103TF0000X | 746 | CT |
Addresses
Primary practice location
60 Old New Milford Rd
Suite 3-a
Brookfield, CT 06804-2430
Mailing address
60 Old New Milford Rd
Suite 3-a
Brookfield, CT 06804-2430
Phone (203) 740-9119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264896000000",
"number": "1437481587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 OLD NEW MILFORD RD",
"address_2": "SUITE 3-A",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042430",
"telephone_number": "203-740-9119",
"fax_number": "203-740-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 OLD NEW MILFORD RD",
"address_2": "SUITE 3-A",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042430",
"telephone_number": "203-740-9119",
"fax_number": "203-740-9659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "THOMAS",
"middle_name": "JOHN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-31",
"last_updated": "2010-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "746",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CT",
"license": "746",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CT",
"license": "746",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, CT
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- Brian Patrick Conner, D.C., CNS, CDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.