Organization Active NPI

C&B Psychological Services, LLC

  • Clinical Psychologist
  • Fairfield, CT
National Provider Identifier
1679227987
Registry record updated Feb 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
C&B PSYCHOLOGICAL SERVICES, LLC
Practice address
21 Sherman CT
FL 2
Fairfield, CT 06824-5825
Phone
(203) 903-1312
NPI assigned
Feb 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2022

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

Authorized official

Name
Dr. Mark Celano, PHDNPI 1346537040
Title
Co-Owner
Phone
(203) 903-1312

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

21 Sherman CT
FL 2
Fairfield, CT 06824-5825

Mailing address

21 Sherman CT
FL 2
Fairfield, CT 06824-5825

National Provider Directory

National Provider Directory

Locations

21 Sherman Ct
#2
Fairfield, CT 06824
Phone (203) 903-1312

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644105600000",
    "number": "1679227987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SHERMAN CT",
            "address_2": "FL 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SHERMAN CT",
            "address_2": "FL 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245825",
            "telephone_number": "203-903-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&B PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A",
        "authorized_official_last_name": "CELANO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "203-903-1312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; 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.