Aspen Grove Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ASPEN GROVE PSYCHOLOGICAL SERVICES, PLLC

Practice address

18 Rockwell CT
South Windsor, CT 06074-6901

Phone

(860) 251-9316

Fax

(860) 261-0655

NPI assigned

Jun 29, 2026

Last updated

Sep 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Stork, PSYDNPI 1295459485

Title

Managing Member

Phone

(614) 634-6603

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Robert Stork, PSY.D

  • Clinical Psychologist
  • South Windsor, CT
  • NPI 1295459485
  NPD (past) Authorized official

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1679499164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ROCKWELL CT",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060746901",
            "telephone_number": "860-251-9316",
            "fax_number": "860-261-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ROCKWELL CT",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060746901",
            "telephone_number": "860-251-9316",
            "fax_number": "860-261-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN GROVE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "STORK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "614-634-6603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael J Aucello, OD
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• Clinical Psychologist in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.