Active NPI
Ronald M Backer, LPC
- School Psychologist
- Newington, CT
National Provider Identifier
1912063330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 100 Market SQ
Suite #6
Newington, CT 06111-2921 - Phone
- (860) 667-1153
- Fax
- (860) 436-4083
- NPI assigned
- Dec 29, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001361 | CT | |
| School Psychologist | 103TS0200X | CT | Primary |
Addresses
Primary practice location
100 Market SQ
Suite #6
Newington, CT 06111-2921
Mailing address
100 Market SQ
Suite #6
Newington, CT 06111-2921
Phone (860) 667-1153
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 334960 | Other | CT | MHN |
| BACKE-0010 | Other | CT | COMPCARE |
| 7782664 | Other | CT | AETNA |
| 240001361CT07 | Other | CT | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1912063330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MARKET SQ",
"address_2": "SUITE #6",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061112921",
"telephone_number": "860-667-1153",
"fax_number": "860-436-4083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MARKET SQ",
"address_2": "SUITE #6",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061112921",
"telephone_number": "860-667-1153",
"fax_number": "860-436-4083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKER",
"first_name": "RONALD",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001361",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "334960",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPCARE",
"identifier": "BACKE-0010",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7782664",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "240001361CT07",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.