Provider Demographics
NPI:1891060026
Name:ROY, ARTHUR JOSEPH (MS,BA,LPC)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:JOSEPH
Last Name:ROY
Suffix:
Gender:M
Credentials:MS,BA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 E MAIN ST
Mailing Address - Street 2:4TH FLOOR ADMINISTRATION
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-2310
Mailing Address - Country:US
Mailing Address - Phone:203-574-9000
Mailing Address - Fax:203-574-9006
Practice Address - Street 1:402 E MAIN ST
Practice Address - Street 2:WATERBURY OP ADULT SERVICES
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702-1701
Practice Address - Country:US
Practice Address - Phone:203-575-0466
Practice Address - Fax:203-575-1817
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2424101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT539532OtherMHN/TRICARENORTH
CTNOT ELIGIBLEOtherCIGNA BEHAVIORAL HEALTH
CT060669107OtherOPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY
CT5426745OtherAETNA BEHAVIORAL HEALTH
CT008049735Medicaid
CT060669107OtherHEALTHYCT WELLMORE GRP/FACILITY
CT060669107OtherUBH/ OXFORD FREEDOM-LIBERTY WELLMORE GRP/FACILITY
CT060669107OtherANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT539532OtherMHN MANAGED HEALTH NETWORK
CT060669107OtherUBH/CONNECTICARE WELLMORE GRP/FACILITY
CT060669107OtherUBH/UNITED HEALTHCARE WELLMORE GRP/FACILITY
CT13540255OtherCAQH
CT14205 GROUPOtherBECON HEALTH STRATEGIES
CT5426745OtherAETNA BEHAVIORAL HEALTH