Organization Active NPI

Dutchess Psychology Practice LLC

  • Psychologist
  • Sharon, CT
National Provider Identifier
1912094889
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
000787 Issued in CT
Legal business name
DUTCHESS PSYCHOLOGY PRACTICE LLC
Practice address
66 White Hollow Rd
Sharon, CT 06069-2119
Phone
(860) 364-0967
NPI assigned
Oct 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Schwarz, PH.D.
Title
Chief Executive Manager
Phone
(860) 364-0967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 000787 CT Primary

Addresses

Primary practice location

66 White Hollow Rd
Sharon, CT 06069-2119

Mailing address

66 White Hollow Rd
Sharon, CT 06069-2119
Phone (860) 364-0967

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912094889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WHITE HOLLOW RD",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692119",
            "telephone_number": "860-364-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 WHITE HOLLOW RD",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692119",
            "telephone_number": "860-364-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTCHESS PSYCHOLOGY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "860-364-0967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "000787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.