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PEDIATRIC PSYCHOLOGY OF CONNECTICUT, LLC
NPI 1679839229
Psychologist - Clinical in New Haven, CT

Active since April 09, 2012
413 ORANGE ST, SUITE 1, NEW HAVEN, CT 06511(888) 342-6002(347) 344-6594 Get Directions Write a Review

NPPES record last updated: April 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Psychology Of Connecticut, Llc NPPES

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

PEDIATRIC PSYCHOLOGY OF CONNECTICUT, LLC (NPI 1679839229) is a healthcare organization registered as a clinical in New Haven, Connecticut and active in the NPI registry since April 2012. The organization lists Mark Vincent Grudberg, Member, as its authorized official.

NPPES Registry Identity

NPI1679839229
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePEDIATRIC PSYCHOLOGY OF CONNECTICUT, LLC
Location Address413 ORANGE ST, SUITE 1New Haven, CT 06511-6424
Mailing AddressPo Box 4098Woodbridge, CT 06525-0298 · (888) 342-6002 · Fax (347) 344-6594
Phone(888) 342-6002
Fax(347) 344-6594
Organization SubpartNo
Authorized OfficialMark Vincent GrudbergMember · (888) 342-6002
Enumeration DateApril 9, 2012
✔ NPI 1679839229 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 · 3139
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.
413 ORANGE ST, New Haven, CT 06511
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES CHARNEY M.D.
Specialist
413 ORANGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 624-6143

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 Pediatric Psychology Of Connecticut, LLC's NPI number?

The NPI number for Pediatric Psychology Of Connecticut, LLC is 1679839229. It was assigned to this organization in the NPPES registry on April 9, 2012.

Where is Pediatric Psychology Of Connecticut, LLC located?

Pediatric Psychology Of Connecticut, LLC is located at 413 Orange St Suite 1, New Haven, CT 06511. The listed phone number is (888) 342-6002.

What is Pediatric Psychology Of Connecticut, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pediatric Psychology Of Connecticut, LLC was last updated on April 9, 2012. 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.