Active NPI
Kristen Lathrop, PSYD, LLC
- Clinical Psychologist
- Hartford, CT
National Provider Identifier
1760710313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 002695
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 002695 | CT | Primary |
| Clinical Child & Adolescent Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008003265 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
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.