Provider Demographics
NPI:1023297009
Name:ASSOCIATES IN PSYCHOTHERAPY & PSYCHIATRY, LLC
Entity type:Organization
Organization Name:ASSOCIATES IN PSYCHOTHERAPY & PSYCHIATRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:SAVULAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-410-1877
Mailing Address - Street 1:74 EAST ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-2367
Mailing Address - Country:US
Mailing Address - Phone:860-410-1877
Mailing Address - Fax:860-410-1878
Practice Address - Street 1:74 EAST ST
Practice Address - Street 2:SUITE 304
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-2367
Practice Address - Country:US
Practice Address - Phone:860-410-1877
Practice Address - Fax:860-410-1878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0025631041C0700X
CT0029401041C0700X
CT0351592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C02883Medicare PIN