Active NPI
John M. Hintze, PH.D. LLC
- Psychologist
- Ellington, CT
National Provider Identifier
1629521992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 002184
- Legal business name
- JOHN M. HINTZE, PH.D. LLC
- Practice address
- 30 Wells Rd
Ellington, CT 06029-2112 - Phone
- (860) 559-8244
- NPI assigned
- Aug 3, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Hintze, PH.D.
- Title
- Psychologist
- Phone
- (860) 281-1419
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 002184 | CT | Primary |
Addresses
Primary practice location
30 Wells Rd
Ellington, CT 06029-2112
Mailing address
435 Buckland Rd
South Windsor, CT 06074-3720
Phone (860) 281-1419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407206774 | Other | CT | NPI TYPE 1 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Ellington, CT
- NPI 1407206774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470182400000",
"number": "1629521992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 BUCKLAND RD",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060743720",
"telephone_number": "860-281-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WELLS RD",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060292112",
"telephone_number": "860-559-8244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN M. HINTZE, PH.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-03",
"last_updated": "2016-08-03",
"status": "A",
"authorized_official_last_name": "HINTZE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "860-281-1419",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CT",
"license": "002184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1407206774",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.