ADULT AND ADOLESCENT PSYCHOLOGICAL SERVICES, LLC
NPI 1598707952
Psychologist - Clinical in Glastonbury, CT

Q: What is Adult And Adolescent Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 11, 2006

78 EASTERN BLVD, SUITE 4, GLASTONBURY, CT 06033(860) 633-7882(860) 659-1999 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Adult And Adolescent Psychological Services, Llc NPPES

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

ADULT AND ADOLESCENT PSYCHOLOGICAL SERVICES, LLC (NPI 1598707952) is a healthcare organization registered as a clinical in Glastonbury, Connecticut and active in the NPI registry since June 2006. The organization lists Pamela Deiter-sands, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1598707952

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameADULT AND ADOLESCENT PSYCHOLOGICAL SERVICES, LLC

Location Address78 EASTERN BLVD, SUITE 4Glastonbury, CT 06033-4325

Mailing Address78 Eastern BlvdGlastonbury, CT 06033-4325 · (860) 633-7882 · Fax (860) 659-1999

Phone(860) 633-7882

Fax(860) 659-1999

Organization SubpartNo

Authorized OfficialPamela Deiter-sandsLicensed Psychologist · (860) 633-7882

Enumeration DateJune 11, 2006

Last NPPES UpdateDecember 28, 2011

✔ NPI 1598707952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CT · 2083

Definition

A 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.

78 EASTERN BLVD, Glastonbury, CT 06033

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Other Identifiers 1

Medicare ID-Type Unspecified680001142CT · Dr. Deiter-sands Med. #

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adult And Adolescent Psychological Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateConnecticutEnrollment IDO20060619000270Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Adult And Adolescent Psychological Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pamela Deiter-Sands, PH.D.

Clinical Psychologist

NPI 1760526180

78 EASTERN BLVD
Glastonbury, CT 06033

(860) 633-7882

✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Adult And Adolescent Psychological Services, LLC's NPI number?

The NPI number for Adult And Adolescent Psychological Services, LLC is 1598707952. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Adult And Adolescent Psychological Services, LLC located?

Adult And Adolescent Psychological Services, LLC is located at 78 Eastern Blvd Suite 4, Glastonbury, CT 06033. The listed phone number is (860) 633-7882.

What is Adult And Adolescent Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Adult And Adolescent Psychological Services, LLC enrolled in Medicare?

Yes. Adult And Adolescent Psychological Services, LLC is registered in the Medicare PECOS enrollment system.

When is Adult And Adolescent Psychological Services, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Adult And Adolescent Psychological Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Adult And Adolescent Psychological Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Adult And Adolescent Psychological Services, LLC was last updated on December 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.