CONNECTICUT GERIATRIC PSYCHOLOGICAL SERVICES PC NPI 1124340203

NPI Information

  • NPI: 1124340203
  • Provider Name: CONNECTICUT GERIATRIC PSYCHOLOGICAL SERVICES, PC
  • Classification: Psychologist - 103TA0700X
  • Specialization: Adult Development & Aging
  • Entity Type: Organization
  • Address: 112 BETSY BROWN RD
    PORT CHESTER, NY
    ZIP 10573
  • Phone: (914) 937-6174

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NPI Details

CONNECTICUT GERIATRIC PSYCHOLOGICAL SERVICES, PC is an adult development and aging psychologist in Port Chester, NY. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. CONNECTICUT GERIATRIC PSYCHOLOGICAL SERVICES, PC NPI is 1124340203. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

112 BETSY BROWN RD
PORT CHESTER, NY
ZIP 10573-231
Phone: (914) 937-6174
Fax: (914) 937-6174

The provider's authorized official is Timothy W. Welles .
The authorized official title is President and has the following contact phone number (914) 937-6174.

The enumeration date for this NPI number is 2/17/2010 and was last updated on 10/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0700XPsychologistAdult Development & Aging2657CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1680001849MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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