Organization Active NPI

Psychotherapy Center for Grief and Hospice Counseling, LLC

  • Clinical Psychologist
  • Hartford, CT
National Provider Identifier
1710748850
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PSYCHOTHERAPY CENTER FOR GRIEF AND HOSPICE COUNSELING, LLC
Practice address
151 New Park Ave Ste 120
Hartford, CT 06106-2174
Phone
(973) 873-3933
NPI assigned
Jan 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Bidossessi(Bido) E Aguessy, PSYDNPI 1154009884
Title
Managing Member
Phone
(973) 873-3933

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

151 New Park Ave Ste 120
Hartford, CT 06106-2174

Mailing address

16 Prospect St
Bloomfield, CT 06002-3016
Phone (973) 873-3933

Other names 1

  • Psychotherapy Center for Grief and Hospice Counseling , LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

151 New Park Ave
Ste 120
Hartford, CT 06106
Phone (516) 652-2100

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": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1710748850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PROSPECT ST",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023016",
            "telephone_number": "973-873-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NEW PARK AVE STE 120",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062174",
            "telephone_number": "973-873-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY CENTER FOR GRIEF AND HOSPICE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "AGUESSY",
        "authorized_official_first_name": "BIDOSSESSI(BIDO)",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "973-873-3933",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychotherapy Center for Grief and Hospice Counseling , LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.