NPIMap

Organization Active NPI

Liberty Healthcare LLC

  • Clinical Psychologist
  • New Britain, CT
National Provider Identifier
1801151105
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
000570 Issued in CT
Legal business name
LIBERTY HEALTHCARE LLC
Practice address
18 Hart St
New Britain, CT 06052-1702
Phone
(860) 357-4112
NPI assigned
Jul 12, 2012
Last updated
Jul 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Mrs. Lucia Devivo Catalano, APRN
Title
Manager/Partner
Phone
(860) 810-2077

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X E59762 CT
Clinical Psychologist 103TC0700X 000570 CT Primary
Case Manager/Care Coordinator 171M00000X 001219 CT

Addresses

Primary practice location

18 Hart St
New Britain, CT 06052-1702

Mailing address

18 Hart St
New Britain, CT 06052-1702
Phone (860) 357-4112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1801151105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HART ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521702",
            "telephone_number": "860-357-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HART ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521702",
            "telephone_number": "860-357-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "DEVIVO CATALANO",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "MANAGER/PARTNER",
        "authorized_official_telephone_number": "860-810-2077",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "E59762",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "000570",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CT",
            "license": "001219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.