Provider Demographics
NPI:1225172786
Name:ADAMAKOS, HARRY (PHD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:
Last Name:ADAMAKOS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2157 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-2401
Mailing Address - Country:US
Mailing Address - Phone:203-335-0345
Mailing Address - Fax:
Practice Address - Street 1:2157 NORTH AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-2401
Practice Address - Country:US
Practice Address - Phone:203-335-0345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT0001489103T00000X, 103TC0700X
CTCT001489103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060001489CT02OtherBLUE CROSS BLUE SHIELD
CT80177OtherMHN
CT134442OtherVALUE OPTIONS
CTOTH000Medicare UPIN