Provider Demographics
NPI:1023176526
Name:SAKSA, JOHN R (PSYD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:SAKSA
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
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Mailing Address - Street 1:270 FARMINGTON AVE
Mailing Address - Street 2:STE 313
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1909
Mailing Address - Country:US
Mailing Address - Phone:203-974-7043
Mailing Address - Fax:203-974-7057
Practice Address - Street 1:34 PARK ST
Practice Address - Street 2:RM. B-38
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1109
Practice Address - Country:US
Practice Address - Phone:203-974-7043
Practice Address - Fax:203-974-7057
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2018-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT002296103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP2795299OtherUNITED BEHAVIORAL HEALTH
CT060002296OtherANTHEM
CT285351OtherMANAGED HEALTH NETWORK
CT060002296OtherANTHEM