Kenneth P. Bangs, PH.D.
Individual provider Active NPI Clinical Psychologist · Plainville, CT
NPI 1508912205 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508912205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1523 (CT)
- Practice address
- 91 Northwest Dr
Wheeler Clinic
Plainville, CT 06062-1534 - Phone
- (860) 793-3816
- Fax
- (860) 793-3591
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001523 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1523 | CT | Yes |
Addresses
Primary practice location
91 Northwest Dr
Wheeler Clinic
Plainville, CT 06062-1534
Mailing address
99 Dyer Ave
Collinsville, CT 06019-3233
Phone (860) 693-1880
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- Adela Bajraktarevic
- Kristina Baker
- Martha S Barcelos
- Brooke Barney
- Brianna Bartley
- Tara Peters Basile
- Jeannine Batiste
All providers in Plainville, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.