Psychotherapy Partners, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001898 Issued in CT

Legal business name

PSYCHOTHERAPY PARTNERS, LLC

Practice address

682 Prospect Ave
First Floor, Box #5
Hartford, CT 06105-4238

Phone

(860) 523-9011

Fax

(860) 523-9011

NPI assigned

Jan 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth L Vitale, MSN, PSYD

Title

Owner

Phone

(860) 523-9011

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elizabeth Vitale, MSN, PsyD Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1720383318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 PROSPECT AVE",
            "address_2": "FIRST FLOOR, BOX #5",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054238",
            "telephone_number": "860-523-9011",
            "fax_number": "860-523-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 PROSPECT AVE",
            "address_2": "FIRST FLOOR, BOX #5",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054238",
            "telephone_number": "860-523-9011",
            "fax_number": "860-523-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "VITALE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-523-9011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSN, PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004172871",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Vitale, MSN, PsyD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla M. Pruden, M.D.
• Helen Margaret Psarakis, APRN
• James Psaras, DDS
• Psych Solutions LLC
• Psychotherapy Center for Grief and Hospice Counseling, LLC
• Jason William Ptak, PA-C
• Ptsma Inc
• Nucharin Puengsakul
• Ashley Hannah Pugliese
• Kathleen Keyes Pugliese, APRN

• Clinical Psychologist in Hartford, CT
• Providers in Hartford, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.