Provider Demographics
NPI:1235269721
Name:ROGINSKY, BINA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BINA
Middle Name:
Last Name:ROGINSKY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 HAZEL TER
Mailing Address - Street 2:SUITE B
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-2209
Mailing Address - Country:US
Mailing Address - Phone:203-848-7590
Mailing Address - Fax:203-285-6455
Practice Address - Street 1:21 HAZEL TER
Practice Address - Street 2:SUITE B
Practice Address - City:WOODBRIDGE
Practice Address - State:CT
Practice Address - Zip Code:06525-2209
Practice Address - Country:US
Practice Address - Phone:203-848-7590
Practice Address - Fax:203-285-6455
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2991103TC0700X
CT1-14-15426103K00000X
103TC2200X, 103TB0200X, 103TF0200X, 103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities