Organization Active NPI

Karuna Psychological Services, LLC

  • Clinical Psychologist
  • East Windsor, CT
National Provider Identifier
1447600234
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3433 Issued in CT
Legal business name
KARUNA PSYCHOLOGICAL SERVICES, LLC
Practice address
7C Pasco Dr
East Windsor, CT 06088
Phone
(860) 623-1777
NPI assigned
Jun 13, 2016
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Dr. Ananda Hernandez-Rivera, PSY.DNPI 1174819783
Title
Owner/Psychologist
Phone
(689) 261-2612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X 3433 CT
Cognitive & Behavioral Psychologist 103TB0200X 3433 CT
Clinical Psychologist 103TC0700X 3433 CT Primary
Clinical Child & Adolescent Psychologist 103TC2200X 3433 CT
Family Psychologist 103TF0000X 3433 CT

Addresses

Primary practice location

7C Pasco Dr
East Windsor, CT 06088

Mailing address

360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700
Phone (860) 940-0686

Other practice location 1

360 Bloomfield Ave
Suite 301
Windsor, CT 06095-2700
Phone (860) 940-0686

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161214002396 CT Part B Supplier - Clinic/Group Practice 2769762491 Receives reassigned benefits from 1 practitioner
Practice locations: East Longmeadow, MA; Windsor, CT

National Provider Directory

National Provider Directory
Tax ID family
Karuna Psychological Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1447600234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 BLOOMFIELD AVE STE 301",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952700",
            "telephone_number": "860-940-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7C PASCO DR",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "06088",
            "telephone_number": "860-623-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Bloomfield Ave",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CT",
            "postal_code": "060952700",
            "country_code": "US",
            "telephone_number": "860-940-0686",
            "fax_number": "860-607-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KARUNA PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ-RIVERA",
        "authorized_official_first_name": "ANANDA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "689-261-2612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CT",
            "license": "3433",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CT",
            "license": "3433",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3433",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CT",
            "license": "3433",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CT",
            "license": "3433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.