Christopher Ralph Penta, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2378 Issued in CT

Practice address

41 Mechanic St
Windsor, CT 06095-2545

Phone

(860) 285-8270

Fax

(860) 722-3162

NPI assigned

Oct 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chris Penta, Psy.D., LLC

  • Psychologist
  • Windsor, CT
  • NPI 1225389596
  Medicare reassignment NPD Authorized official
• Spectrum Psychotherapy Centers, LLC

  • Clinical Psychologist
  • Windsor, CT
  • NPI 1295748689
  NPD Authorized official

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1720178049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MECHANIC STREER",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "06095",
            "telephone_number": "860-285-8270",
            "fax_number": "860-688-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MECHANIC ST",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952545",
            "telephone_number": "860-285-8270",
            "fax_number": "860-722-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTA",
        "first_name": "CHRISTOPHER",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "2378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shevane Pearson
• Trudy Tamara Pearson
• Kaela Peich
• Maris K Pelkey, BEHAVIOR ANALYST
• Michelle Lena Peloquin, PTA
• Melissa Peracchio, BCBA
• Nelson Perez, LADC
• Yeneiry G Perez
• Amanda Rae Perrin
• Nikole Perryman

• Psychologist in Windsor, CT
• Providers in Windsor, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.