Active NPI
George Dillon Jr., CIT
- Counselor
- Hartford, CT
National Provider Identifier
1538472113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CIT-3904
- Practice address
- 500 Albany Ave
Hartford, CT 06120-2508 - Phone
- (860) 808-8789
- Fax
- (860) 808-8771
- NPI assigned
- Jul 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CIT-3904 | CT | Primary |
Addresses
Primary practice location
500 Albany Ave
Hartford, CT 06120-2508
Mailing address
500 Albany Ave
Hartford, CT 06120-2508
Phone (860) 808-8789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CIT-3904 | CT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1538472113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ALBANY AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061202508",
"telephone_number": "860-808-8789",
"fax_number": "860-808-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALBANY AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061202508",
"telephone_number": "860-808-8789",
"fax_number": "860-808-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "GEORGE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CIT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-23",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "CIT-3904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.