INTEGRATIVE PSYCHOLOGICAL CENTER LLC
NPI 1306318670
Psychologist in Hartford, CT

Active since December 26, 2018
44 CAPITOL AVE STE 402, HARTFORD, CT 06106(860) 466-9411 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrative Psychological Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATIVE PSYCHOLOGICAL CENTER LLC (NPI 1306318670) is a healthcare organization registered as a psychologist in Hartford, Connecticut and active in the NPI registry since December 2018. The organization lists Randall Wallace, Owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1306318670
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameINTEGRATIVE PSYCHOLOGICAL CENTER LLC
Location Address44 CAPITOL AVE STE 402Hartford, CT 06106-1764
Mailing Address40 Mountain RdWest Hartford, CT 06107-2913 · (860) 466-9411
Organization SubpartNo
Authorized OfficialRandall WallaceOwner/psychologist · (860) 466-9411
Enumeration DateDecember 26, 2018
NPI 1306318670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychologist · ForensicTaxonomy 103TF0200X
44 CAPITOL AVE STE 402, Hartford, CT 06106

Other Identifiers 1

Medicaid008042490CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrative Psychological Center LLC's NPI number?

The NPI number for Integrative Psychological Center LLC is 1306318670. It was assigned to this organization in the NPPES registry on December 26, 2018.

Where is Integrative Psychological Center LLC located?

Integrative Psychological Center LLC is located at 44 Capitol Ave Ste 402, Hartford, CT 06106. The listed phone number is (860) 466-9411.

What is Integrative Psychological Center LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Integrative Psychological Center LLC was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.