John Mitchell Kurkjian, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001989 Issued in CT

Practice address

750 Old Main St
Suite 306
Rocky Hill, CT 06067-1567

Phone

(860) 529-8432

Fax

(860) 529-3461

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John Kurkjian, LLC

  • Clinical Psychologist
  • Rocky Hill, CT
  • NPI 1194904615
  NPD (past) Authorized official
• Beacon Behavioral Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Avon, CT
  • NPI 1891872842
  NPD (past)
• Michelle M Nitto, Psy.D. LLC

  • Clinical Psychologist
  • Rocky Hill, CT
  • NPI 1023154689
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1467405258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 OLD MAIN ST",
            "address_2": "SUITE 306",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671567",
            "telephone_number": "860-529-8432",
            "fax_number": "860-529-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 OLD MAIN ST",
            "address_2": "SUITE 306",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671567",
            "telephone_number": "860-529-8432",
            "fax_number": "860-529-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURKJIAN",
        "first_name": "JOHN",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koni Aprn Family Practice LLC
• Aida Koni, APRN FNP
• Evan Kraushaar, DMD
• Alissa Krolewicz
• Rebecca Lynn Kruse, APRN
• L Lofgren Inc.
• Rocco S Labbadia, RPT
• Laboratory Corporation of America Holdings
• Leeanne Lachapelle, A.P.R.N
• Martha F Laffan, PTA

• Clinical Psychologist in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.