Organization Active NPI

Psychological Assessment Services

  • Clinical Psychologist
  • Woodbridge, CT
National Provider Identifier
1609293448
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2991 Issued in CT
Legal business name
PSYCHOLOGICAL ASSESSMENT SERVICES
Practice address
21 Hazel Ter
Suite B
Woodbridge, CT 06525-2209
Phone
(203) 848-7590
NPI assigned
Mar 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Bina Roginsky
Title
Owner
Phone
(203) 848-7590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2991 CT Primary

Addresses

Primary practice location

21 Hazel Ter
Suite B
Woodbridge, CT 06525-2209

Mailing address

21 Hazel Ter
Suite B
Woodbridge, CT 06525-2209

National Provider Directory

National Provider Directory

Locations

21 Hazel Ter
#B
Woodbridge, CT 06525
Phone (203) 747-8734

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1609293448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HAZEL TER",
            "address_2": "SUITE B",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HAZEL TER",
            "address_2": "SUITE B",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252209",
            "telephone_number": "203-848-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSESSMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "ROGINSKY",
        "authorized_official_first_name": "BINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-848-7590",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "2991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.