Angel Roubin PSYD - LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ANGEL ROUBIN PSYD - LLC

Practice address

80-1 Plains Rd
Essex, CT 06426-1501

Phone

(860) 852-1566

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2020By 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

Angel Roubin, PSYD

Title

Owner

Phone

(860) 852-1566

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1457958167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80-1 PLAINS RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80-1 PLAINS RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261501",
            "telephone_number": "860-852-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL ROUBIN PSYD - LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "ROUBIN",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-852-1566",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas B Allen II, PHD
• Ioanna Anastasiadis, PA
• Beth Anderson
• Norman Anderson
• Jason Christopher Andrade
• Anne Peterson LLC
• Suzanne E Arcuni, APRN
• Maria L Aresco, MSW
• Art Therapy & Creative Counseling
• Art Therapy & Creative Counseling LLC

• Psychologist in Essex, CT
• Providers in Essex, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.