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RUSHFORD CENTER INC. NPI 1275541005


NPI Information

NPI: 1275541005
Provider Name: RUSHFORD CENTER, INC.
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
883 PADDOCK AVENUE
MERIDEN, CT
ZIP 06450
Phone: (203) 630-5220
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RUSHFORD CENTER, INC. is a psychologist in Meriden, CT. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. RUSHFORD CENTER, INC. NPI is 1275541005. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

883 PADDOCK AVENUE
MERIDEN, CT
ZIP 06450
Phone: (203) 630-5220
Fax: (203) 634-7083

The provider's authorized official is Andrew W Czerniewski .
The authorized official title is Evp Finance/cfo and has the following contact phone number (203) 238-6880.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 10/22/2010.


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
12084P0800XPsychiatry & NeurologyPsychiatryNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)CONNECTICUTNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthCONNECTICUTNo
4261QM0850XClinic/CenterAdult Mental HealthCONNECTICUTNo
5103TB0200XPsychologistCognitive & BehavioralNo
6103TC0700XPsychologistClinicalNo
71041C0700XSocial WorkerClinicalNo
8103T00000XPsychologistYes

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
1004257590MEDICAIDCONNECTICUT
2004262250MEDICAIDCONNECTICUT
3C03078MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
4004260551MEDICAIDCONNECTICUT
5074609MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
6004259033MEDICAIDCONNECTICUT
7004246030MEDICAIDCONNECTICUT
8004241212MEDICAIDCONNECTICUT
9DB6386MEDICARE OSCAR/CERTIFICATIONCONNECTICUT

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: 5/5/2024

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