NPIMap

Organization Active NPI

Collaborative Psychiatric Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainville, CT
National Provider Identifier
1841467958
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
COLLABORATIVE PSYCHIATRIC SERVICES, LLC
Practice address
58 W Main St
Plainville, CT 06062-1993
Phone
(860) 517-8557
NPI assigned
May 8, 2008
Last updated
Mar 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Kimberly K Saucier, APRNNPI 1326105990
Title
Business Owner
Phone
(860) 517-8557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary
Psychologist 103T00000X
Psychiatry Physician 2084P0800X
Geriatric Psychiatry Physician 2084P0805X
General Practice Physician 208D00000X

Addresses

Primary practice location

58 W Main St
Plainville, CT 06062-1993

Mailing address

P.O. Box 857
58 West Main St
Plainville, CT 06062-0857
Phone (860) 517-8557

National Provider Directory

National Provider Directory

Locations

55 Whiting St
Ste 1A
Plainville, CT 06062
Phone (860) 517-8557

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1841467958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 857",
            "address_2": "58 WEST MAIN ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060620857",
            "telephone_number": "860-517-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 W MAIN ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621993",
            "telephone_number": "860-517-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "SAUCIER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "860-517-8557",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.