DR. JACK JURICH
NPI 1316136500
Psychologist in West Hartford, CT

Active since October 24, 2007
15 BRAEBURN RD, WEST HARTFORD, CT 06107(212) 255-6632 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Jurich NPPES

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

DR. JACK JURICH (NPI 1316136500) is an individual psychologist in West Hartford, Connecticut, licensed in New York (014799) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1316136500
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JACK JURICH
Location Address15 BRAEBURN RDWest Hartford, CT 06107-1605
Mailing Address15 Braeburn RdWest Hartford, CT 06107-1605 · (212) 255-6632
Sole ProprietorYes
Enumeration DateOctober 24, 2007
Last NPPES UpdateJuly 26, 2024
NPPES CertifiedJuly 26, 2024
NPI 1316136500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 014799
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.
15 BRAEBURN RD, West Hartford, CT 06107

Other Identifiers 1

Medicaid02161493NY

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 Jack Jurich's NPI number?

The NPI number for Jack Jurich is 1316136500. It was assigned to this individual provider in the NPPES registry on October 24, 2007.

Where is Jack Jurich located?

Jack Jurich practices at 15 Braeburn Rd, West Hartford, CT 06107. The listed phone number is (212) 255-6632.

What is Jack Jurich'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 Jack Jurich was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.