Psychotherapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PSYCHOTHERAPY SERVICES LLC

Practice address

904 State St
New Haven, CT 06511-3921

Phone

(203) 494-0333

NPI assigned

Jan 15, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Hector G Lizcano, LCSWNPI 1720143951

Title

Sole Proprietorship/Psychotherapist

Phone

(203) 494-0333

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.

• Hector G Lizcano, LCSW LADC

  • Clinical Social Worker
  • New Haven, CT
  • NPI 1720143951
  NPD (past) Authorized official

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1720628969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ROCK RD",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733749",
            "telephone_number": "203-494-0333",
            "fax_number": "203-494-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 STATE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113921",
            "telephone_number": "203-494-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "LIZCANO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SOLE PROPRIETORSHIP/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "203-494-0333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Horn Prsic, M.D.
• Michaela Pruchnicki, DPT, PT, CLT
• Kyle Dean Pruett, M.D.
• Psychiatric Care Consultants LLC
• Psychological Services and Care, LLC
• Diamando Psyrri, MD
• Ptsma, Inc.
• Matthew Vincent Puccetti, MD, PHD
• Jayme Puff, M.S.
• Amy Elizabeth Barile Pugliese, APRN

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.