DR. JAMES M. CONTI PH.D.
NPI 1013084672
Psychologist - Clinical in Glastonbury, CT

NPI Status: Active since November 29, 2006

Contact Information

41C NEW LONDON TPKE
GLASTONBURY, CT
ZIP 06033
Phone: (860) 268-2020
Fax: (860) 659-4358

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  • Individual
  • Male
  • Years of Experience 25
  • Psychologist
  • Clinical
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JAMES CONTI

James Conti is a provider established in Glastonbury, Connecticut and his medical specialization is Psychologist with a focus in clinical with more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1013084672 assigned on November 2006. The practitioner's primary taxonomy code is 103TC0700X with license number PY6222 (FL). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI1013084672
Provider NameDR. JAMES M. CONTI PH.D.
Location Address41C NEW LONDON TPKE GLASTONBURY, CT 06033
Location Phone(860) 268-2020
Mailing AddressPO BOX 423 GLASTONBURY, CT 06033
GenderMale
Entity TypeIndividual
Medical School NameOTHER
Graduation Year1999
Is Sole Proprietor?No
Enumeration Date11-29-2006
Last Update Date09-14-2018
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A clinical psychologist like James Conti assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

James Conti is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $47.71 for a new patient copayment and $28.02 for an established patient copayment.

Location Map

Mailing Address

PO BOX 423
GLASTONBURY, CT
ZIP 06033
Phone: (860) 268-2020
Fax: (860) 659-4358

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code103TC0700X
TypeBehavioral Health & Social Service Providers
License No.PY6222
License StateFL
Taxonomy DescriptionA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

0002317 (CT)

PECOS Enrollment and Medicare Participation Status

James Conti is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4385798149

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20090813000726

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 06033 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $190.87
  • Minimum New Patient Price $63.47
  • Maximum New Patient Price $190.87
  • Average New Patient Copayment $47.71
  • Minimum New Patient Copayment $15.86
  • Maximum New Patient Copayment $47.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $112.09
  • Minimum Established Patient Price $20.08
  • Maximum Established Patient Price $156.18
  • Average Established Patient Copayment $28.02
  • Minimum Established Patient Copayment $5.02
  • Maximum Established Patient Copayment $39.04

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. JAMES M. CONTI PH.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013084672
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023088614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 8 + 6 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1013084672 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790810570MS. LAURIE WARD RHINES M.A. MARRIAGE AND FA
Individual
Marriage & Family Therapist41C NEW LONDON TPKE
GLASTONBURY, CT 06033
(860) 342-5089
1720109168 CAROL ROMERO LMFT
Individual
Marriage & Family Therapist41C NEW LONDON TPKE
GLASTONBURY, CT 06033
(860) 633-4564
1407077860DR. SHEILA RENEE DUPUIS PSY.D.
Individual
Psychologist (Clinical)41C NEW LONDON TPKE
GLASTONBURY, CT 06033
(860) 659-0579
1023409869ELAINE TAVANI, MS, LMFT, LLC
Organization
Marriage & Family Therapist41C NEW LONDON TPKE
GLASTONBURY, CT 06033
(860) 916-0204
1245460724JAMES M. CONTI, PH.D., LLC
Organization
Psychologist (Clinical)41C NEW LONDON TPKE
GLASTONBURY, CT 06033
(860) 268-2020
1558750273DR. SMITH EDDIE KIDKARNDEE PSY.D., HSP
Individual
Psychologist (Clinical)41C NEW LONDON TPKE
GLASTONBURY, CT 06033
(860) 288-7041
1700341021HEART OF WISDOM COUNSELING AND PSYCHOLOGICAL SERVICES LLC
Organization
Counselor (Mental Health)41C NEW LONDON TPKE
GLASTONBURY, CT 06033
(860) 288-7041
1871958173 LINDSEY MONIQUE DESORBO LCSW
Individual
Social Worker (Clinical)41C NEW LONDON TPKE
GLASTONBURY, CT 06033
(475) 331-9065

Frequently Asked Questions

What is Dr. James Conti PH.D. NPI number?

The NPI number assigned to this healthcare provider is 1013084672, enumerated in the NPI registry as an "individual" on November 29, 2006

Where is the provider located?

The provider is located at 41c New London Tpke Glastonbury, Ct 06033 and the phone number is (860) 268-2020

What is the provider specialty code?

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

How many years of experience does Dr. James Conti PH.D. have?

The provider has more than 25 years of experience.

Is Dr. James Conti PH.D. registered in PECOS?

Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

How much is a visit to Dr. James Conti PH.D.?

Medicare beneficiaries should expect a typical cost of $190.87 with an average copayment of $47.71 for new patient appointments. Established patients should expect a typical charge of $112.09 and an average copayment of 28.02. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

This NPI record was last updated on November 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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