Steven Prasinos, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1079 Issued in CT

Practice address

39 Sherman Hill Rd
Suite C-202B
Woodbury, CT 06798-3650

Phone

(203) 266-4003

Fax

(203) 266-4003

NPI assigned

Nov 10, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821169095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SHERMAN HILL RD",
            "address_2": "SUITE C-202B",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983650",
            "telephone_number": "203-266-4003",
            "fax_number": "203-266-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SHERMAN HILL RD",
            "address_2": "SUITE C-202B",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983650",
            "telephone_number": "203-266-4003",
            "fax_number": "203-266-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASINOS",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "1079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P693836",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "060001079CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4601583",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Porter & Girgasky, Inc. (Woodbury Drug)
• Premier Care of Woodbury
• Regional School District #14
• Estella Reinhardt
• John Louis Renzulli, LCSW
• Riverpath Counseling LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.