Active NPI
Kevin R. Conter, PH.D., P.C.
- Psychologist
- Manchester, CT
National Provider Identifier
1659675932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 000963
- Legal business name
- KEVIN R. CONTER, PH.D., P.C.
- Practice address
- 200 Main St
Manchester, CT 06042-3581 - Phone
- (860) 646-9660
- Fax
- (860) 643-4074
- NPI assigned
- Dec 31, 2010
- 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. Kevin R Conter, PHD
- Title
- President
- Phone
- (860) 646-9660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 000963 | CT | Primary |
Addresses
Primary practice location
200 Main St
Manchester, CT 06042-3581
Mailing address
200 Main St
Manchester, CT 06042-3581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004053344 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
200 Main St
Manchester, CT 06042
Phone (860) 402-2825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293753600000",
"number": "1659675932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060423581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060423581",
"telephone_number": "860-646-9660",
"fax_number": "860-643-4074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN R. CONTER, PH.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-31",
"last_updated": "2010-12-31",
"status": "A",
"authorized_official_last_name": "CONTER",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-646-9660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CT",
"license": "000963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004053344",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.