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DR. JACK THAW PHD
NPI 1801923586
Psychologist - Clinical in Glastonbury, CT

Active since February 28, 2007
300 HEBRON AVE, SUITE 217 COUNSELING AFFILIATES INC MEDICAL ARTS CENTER, GLASTONBURY, CT 06033(860) 659-2697(860) 659-3468 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack Thaw Phd NPPES

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

DR. JACK THAW PHD (NPI 1801923586) is an individual clinical provider in Glastonbury, Connecticut, licensed in Connecticut (001266) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1801923586
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACK THAWCredential: PHD
Location Address300 HEBRON AVE, SUITE 217 COUNSELING AFFILIATES INC MEDICAL ARTS CENTERGlastonbury, CT 06033
Mailing Address300 Hebron Ave, Suite 217 Counseling Affiliates Inc Medical Arts CenterGlastonbury, CT 06033 · (860) 659-2697 · Fax (860) 659-3468
Phone(860) 659-2697
Fax(860) 659-3468
Sole ProprietorNo
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801923586 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 · 001266
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.
300 HEBRON AVE, Glastonbury, CT 06033
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Other Identifiers 3

Other0600011266001CT · Anthem Bc
Other134309CT · Value Options Ubh
OtherP2743373CT · Oxford

Other Providers at the Same Location NPPES 20

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

SUSAN GARGIULO LCSW
Social Worker (Clinical)
300 HEBRON AVE, SUITE 217
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-2697
GLASTONBURY PODIATRY GROUP
Durable Medical Equipment & Medical Supplies
300 HEBRON AVE, SUITE 211
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-3668
JOSEPH B SAPPINGTON MD FACC PC
Internal Medicine (Cardiovascular Disease)
300 HEBRON AVE, SUITE 213
GLASTONBURY, CT 06033
Capitol Planning Region (860) 525-7357
TRACY SIBLEY
Nurse Practitioner (Psychiatric/Mental Health)
300 HEBRON AVE
GLASTONBURY, CT 06033
Capitol Planning Region (860) 383-3860
DR. MELENEY BLANCHFORD SCUDDER PSY.D.
Psychologist (Clinical)
300 HEBRON AVE, SUITE 217
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-2697
GLASTONBURY PSYCHOLOGICAL ASSOCIATES, PC
Psychologist (Clinical)
300 HEBRON AVE, SUITE 215
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-1202
COUNSELING AFFILIATES INC
Counselor (Mental Health)
300 HEBRON AVE, SUITE 217
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-2697
RALPH ANDREW LEE LPCA
Counselor (Professional)
300 HEBRON AVE
GLASTONBURY, CT 06033
Capitol Planning Region (860) 841-1477

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 Thaw's NPI number?

The NPI number for Jack Thaw is 1801923586. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Jack Thaw located?

Jack Thaw practices at 300 Hebron Ave Suite 217 Counseling Affiliates Inc Medical Arts Center, Glastonbury, CT 06033. The listed phone number is (860) 659-2697.

What is Jack Thaw'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 Jack Thaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.