Spectrum Psychotherapy Centers, Llc in Windsor - Clinical
Spectrum Psychotherapy Centers, Llc - NPI 1295748689
Spectrum Psychotherapy Centers, Llc is a Clinical in Windsor, Connecticut. Spectrum Psychotherapy Centers, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Spectrum Psychotherapy Centers, Llc is 1295748689. The last update date is 2014-10-02.
Spectrum Psychotherapy Centers, Llc's current location address is 30 Maple Ave, Windsor, Connecticut. You can contact this provider via phone number 8602467999. The mailing address for Spectrum Psychotherapy Centers, Llc is 30 Maple Ave, Windsor, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spectrum Psychotherapy Centers, Llc |
|---|---|
| Address | 30 Maple Ave, Windsor, Connecticut |
| Phone Number | 8602467999 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Penta Christopher |
| Credentials | PSY.D. |
| Telephone Number | 8602467999 |
NPI Number Detail
| NPI Number | 1295748689 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2014-10-02 |
Provider Mailing Address Detail
| Address | 30 Maple Ave |
|---|---|
| City | Windsor |
| State | Connecticut (CT) |
| Post Code | 60952922 |
| Phone Number | 8602467999 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2490549 | CT | AETNA US HEALTHCARE | |
| ANC1198 | CT | OXFORD HEALTH PLANS | |
| 252147 | CT | MHN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Spectrum Psychotherapy Centers, Llc by the Centers for Medicare & Medicaid Services?
The Spectrum Psychotherapy Centers, Llc has been issued the NPI (National Provider Identifier) 1295748689, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Spectrum Psychotherapy Centers, Llc is geographically located?
The Spectrum Psychotherapy Centers, Llc is physically situated at the following location: 30 Maple Ave, Windsor, CT, 60952922.
What is Spectrum Psychotherapy Centers, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Spectrum Psychotherapy Centers, Llc is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did Spectrum Psychotherapy Centers, Llc receive its 1295748689 assignment?
The Spectrum Psychotherapy Centers, Llc was assigned its 1295748689 on 2006-08-15, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Spectrum Psychotherapy Centers, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Spectrum Psychotherapy Centers, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-10-02.
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