Providercare Plus Pc

LBN: Providercare Plus Pc
Providercare Plus Pc is an health care organization with primary practice located at 152 Deming St Providercare Plus, South Windsor CT 06074-3740. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Providercare Plus Pc can be contacted via phone (860) 644-4472, or through Cardamone, Philip S. via phone (860) 644-4472.

Contact Information

Primary practice address
152 Deming St Providercare Plus South Windsor CT 06074-3740
Phone: (860) 644-4472
Fax: (860) 644-3001
Website:
Map and Directions
Authorized official contact:
Name: Cardamone, Philip S. PSYD
Phone: (860) 644-4472

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1396724811
LBN Legal business name Providercare Plus Pc
DBA Doing business as
Authorized official Cardamone, Philip S. PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2006
Last updated Feb 12th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396724811 NPPES
Connecticut MEDICAID 004398055

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