EASTERN CONNECTICUT PSYCHOLOGICAL ASSOCIATES LLC NPI 1942578778

NPI Information

  • NPI: 1942578778
  • Provider Name: EASTERN CONNECTICUT PSYCHOLOGICAL ASSOCIATES, LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • CLIA Number: 07D0971355
  • Address: 12 CASE ST
    SUITE 202
    NORWICH, CT
    ZIP 06360
  • Phone: (860) 886-0015

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NPI Details

EASTERN CONNECTICUT PSYCHOLOGICAL ASSOCIATES, LLC is an adult mental health clinic center in Norwich, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. EASTERN CONNECTICUT PSYCHOLOGICAL ASSOCIATES, LLC NPI is 1942578778. The provider is registered as an organization entity type.

The provider's business location address is:

12 CASE ST
SUITE 202
NORWICH, CT
ZIP 06360-222
Phone: (860) 886-0015
Fax: (860) 886-0015

The provider's authorized official is Joseph Patrick Lang .
The authorized official title is Owner and has the following contact phone number (860) 886-0015.

The CLIA number assigned to this NPI record is 07D0971355 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2011 and was last updated on 10/13/2015.

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
1261QM0850XClinic/CenterAdult Mental Health1875CONNECTICUTYes

What is NPI?

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

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