NPIMap

Organization Active NPI

Medical Psychology Associates

  • Clinical Psychologist
  • Glastonbury, CT
National Provider Identifier
1528280575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002669 Issued in CT
Legal business name
MEDICAL PSYCHOLOGY ASSOCIATES
Practice address
76 Eastern Blvd
Glastonbury, CT 06033-1201
Phone
(860) 633-5204
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jennifer L. Ferrand, PSYDNPI 1619996790
Title
Psychologist and Co-Owner
Phone
(860) 633-5204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 002669 CT Primary

Addresses

Primary practice location

76 Eastern Blvd
Glastonbury, CT 06033-1201

Mailing address

76 Eastern Blvd
Glastonbury, CT 06033-1201
Phone (860) 633-5204

National Provider Directory

National Provider Directory

Locations

76 Eastern Blvd
Glastonbury, CT 06033
Phone (860) 633-5204

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528280575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 EASTERN BLVD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331201",
            "telephone_number": "860-633-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 EASTERN BLVD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331201",
            "telephone_number": "860-633-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PSYCHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PSYCHOLOGIST AND CO-OWNER",
        "authorized_official_telephone_number": "860-633-5204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.