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PROFESSIONAL RESOURCE GROUP PC
NPI 1710019963
Psychologist - Clinical in Mansfield Center, CT

Active since March 12, 2007
207 STORRS RD # 174, MANSFIELD CENTER, CT 06250(860) 456-4604(860) 456-1738 Get Directions Write a Review

NPPES record last updated: May 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Professional Resource Group Pc NPPES

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

PROFESSIONAL RESOURCE GROUP PC (NPI 1710019963) is a healthcare organization registered as a clinical in Mansfield Center, Connecticut and active in the NPI registry since March 2007. The organization lists Gary P Kanabay, Director President, as its authorized official.

NPPES Registry Identity

NPI1710019963
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePROFESSIONAL RESOURCE GROUP PC
Location Address207 STORRS RD # 174Mansfield Center, CT 06250-1638
Mailing Address207 Storrs Rd # 174Mansfield Center, CT 06250-1638 · (860) 456-4604 · Fax (860) 456-1738
Phone(860) 456-4604
Fax(860) 456-1738
Organization SubpartNo
Authorized OfficialGary P KanabayDirector President · (860) 456-4604
Enumeration DateMarch 12, 2007
Last NPPES UpdateMay 1, 2014
✔ NPI 1710019963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
207 STORRS RD # 174, Mansfield Center, CT 06250
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Other Identifiers 9

Medicare ID-Type UnspecifiedC01341
Medicaid004255007CT
OtherC007612Tricare
Other297211Mhn
Medicaid008002985CT
Medicaid008033020CT
Other620000199CT · Medicare
Medicaid004255057CT
Medicaid004398047CT

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. GARY PAUL KANABAY PSY.D.
Psychologist (Clinical)
207 STORRS RD # 174
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 456-4604

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 Professional Resource Group PC's NPI number?

The NPI number for Professional Resource Group PC is 1710019963. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is Professional Resource Group PC located?

Professional Resource Group PC is located at 207 Storrs Rd # 174, Mansfield Center, CT 06250. The listed phone number is (860) 456-4604.

What is Professional Resource Group PC'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 Professional Resource Group PC was last updated on May 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.