Psychotherapy Associates of CT, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PSYCHOTHERAPY ASSOCIATES OF CT, LLC

Practice address

244 S Main St
Colchester, CT 06415-1405

Phone

(860) 338-3324

NPI assigned

May 4, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Diane Adelson, LCSWNPI 1750347621

Title

LCSW, Owner

Phone

(860) 338-3324

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane K Adelson, LCSW

  • Social Worker
  • Colchester, CT
  • NPI 1750347621
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1497989511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 S MAIN ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151405",
            "telephone_number": "860-338-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 S MAIN ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151405",
            "telephone_number": "860-338-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY ASSOCIATES OF CT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "ADELSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "LCSW, OWNER",
        "authorized_official_telephone_number": "860-338-3324",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Pokorny, APRN
• Laura C Popeleski, PAC
• Priya Tandon M.D. LLC
• Professional Dental Alliance of Colchester, PLLC
• Joshua Pruitt, PHARM.D.
• Susan Gene Pugatch, RPT
• Kelsey Rai, LMFTA
• Lori Raymond, ND
• Donna Louisa Reenstra, M.S.
• Revived Connections LLC

• Community/Behavioral Health Agency in Colchester, CT
• Providers in Colchester, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.