Coleen Dobo PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

COLEEN DOBO PSYD LLC

Practice address

11 Walts HL
Bloomfield, CT 06002-1202

Phone

(860) 372-9437

NPI assigned

Nov 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Coleen Dobo, PSYDNPI 1477625150

Title

Psychologist Owner

Phone

(860) 372-9437

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Coleen Dobo, PSYD

  • Psychologist
  • Bloomfield, CT
  • NPI 1477625150
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1568172013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WALTS HL",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060021202",
            "telephone_number": "860-372-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WALTS HL",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060021202",
            "telephone_number": "860-372-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEEN DOBO PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "DOBO",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST OWNER",
        "authorized_official_telephone_number": "860-372-9437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://coleendobopsyd.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Client portal, client document receipt and submission., appointment scheduling, secure messaging, questionnaires.  Exchange of health information between providers.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "11 Walts Hl",
            "city": "Bloomfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060021202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina M Cicero, LCSW
• Clear Choice Lab, LLC
• Clear Sky Therapy Services LLC
• Anastasia Climan, RDN
• Gary Cohen, MD
• Wilma Gordon Coleman, MA, LPC
• Carolyn Coleridge
• Rochelle L Collins, DO
• Colon and Rectal Surgeons of Greater Hartford, LLC
• Eileen C Comia, MD

• Clinical Psychologist in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.