Individual provider Active NPI

David J Finitsis, PHD

  • Clinical Psychologist
  • Hartford, CT
National Provider Identifier
1871985580
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003737 Issued in CT
Practice address
85 Retreat Avenue
Hartford Hospital Cancer Center
Hartford, CT 06106
Phone
(860) 972-3127
NPI assigned
Mar 4, 2015
Last updated
Jun 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 003737 CT Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

85 Retreat Avenue
Hartford Hospital Cancer Center
Hartford, CT 06106

Mailing address

85 Retreat Avenue
Hartford Hospital Cancer Center
Hartford, CT 06106-2555
Phone (860) 972-3127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180716000106 CT Practitioner - Clinical Psychologist 4284981796 Reassigns benefits to 3 organizations
I20220718001520 CT Practitioner - Psychologist Billing Independently 4284981796 Practice locations: West Hartford, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Aug 1, 2018 Accepting new patients
Hartford Hospital CurrentSince May 16, 2018 Accepting new patients
Hartford Hospital CurrentSince May 16, 2018 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Aug 1, 2018 Accepting new patients

Locations

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

Interoperability endpoints

  • Direct secure messaging: david.finitsis@xdr.hhchealthdirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1871985580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 RETREAT AVENUE",
            "address_2": "HARTFORD HOSPITAL CANCER CENTER",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062555",
            "telephone_number": "860-972-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 RETREAT AVENUE",
            "address_2": "HARTFORD HOSPITAL CANCER CENTER",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-972-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINITSIS",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-04",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003737",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.