Provider Demographics
NPI:1639361819
Name:CPS, LLC (CONSULTANT PSYCHIATRIC SERVICES)
Entity Type:Organization
Organization Name:CPS, LLC (CONSULTANT PSYCHIATRIC SERVICES)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:MS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:A
Authorized Official - Last Name:KUPINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-352-2090
Mailing Address - Street 1:79 BART DR
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06019-3045
Mailing Address - Country:US
Mailing Address - Phone:860-352-2090
Mailing Address - Fax:
Practice Address - Street 1:79 BART DR
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:CT
Practice Address - Zip Code:06019-3045
Practice Address - Country:US
Practice Address - Phone:860-352-2090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003006363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty