Organization Active NPI

Kristen Lathrop, PSYD, LLC

  • Clinical Psychologist
  • Hartford, CT
National Provider Identifier
1760710313
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002695 Issued in CT
Legal business name
KRISTEN LATHROP, PSYD, LLC
Practice address
750 Main St
Suite 1008E
Hartford, CT 06103-2703
Phone
(860) 920-5101
NPI assigned
Nov 19, 2009
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Kristen Lathrop, PSYD
Title
Psychologist
Phone
(860) 920-5101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 002695 CT Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 002695 CT

Addresses

Primary practice location

750 Main St
Suite 1008E
Hartford, CT 06103-2703

Mailing address

750 Main St
Suite 1008E
Hartford, CT 06103-2703
Phone (860) 920-5101

Other identifiers 1

IdentifierTypeStateIssuer
008003265MedicaidCT

National Provider Directory

National Provider Directory

Locations

360 Farmington Ave
Hartford, CT 06105
Phone (860) 920-5101

750 Main St
Ste 1008E
Hartford, CT 06103
Phone (860) 920-5101

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1760710313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "address_2": "SUITE 1008E",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061032703",
            "telephone_number": "860-920-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "address_2": "SUITE 1008E",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061032703",
            "telephone_number": "860-920-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN LATHROP, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "LATHROP",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "860-920-5101",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002695",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CT",
            "license": "002695",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008003265",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 19, 2009; 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.