Pursuecare Connecticut PC
Psychiatry & Neurology, Psychiatry in Middletown, CT. Organization (NPI-2).
NPI number1003443185
StatusActive
Last updated in NPPESJul 18, 2023
Details
- NPI
- 1003443185
- Entity type
- Organization (NPI-2)
- Legal business name
- Pursuecare Connecticut PC
- Organization subpart
- No
- Enumeration date
- Mar 26, 2020
- Certification date
- Jul 18, 2023
- Last updated
- Jul 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 103TC1900X | Psychologist, Counseling | – | – | |
| 104100000X | Social Worker | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 2083A0300X | Preventive Medicine, Addiction Medicine | – | – | |
| 261Q00000X | Clinic/Center | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 363AM0700X | Physician Assistant, Medical | – | – | |
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | |
| 364SA2100X | Clinical Nurse Specialist, Acute Care | – | – |
Practice location
101 Centerpoint Dr Ste 105Middletown, CT 06457-7568
Phone 860-317-5251 · Fax 860-469-2766
Mailing address
101 Centerpoint Dr Ste 105Middletown, CT 06457-7568
Phone 860-317-5251 · Fax 860-469-2766
Authorized official
Melissa King
Authorized
8603226712
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