Provider Demographics
NPI:1285113498
Name:DOCPLUS, PLLC
Entity type:Organization
Organization Name:DOCPLUS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:POLIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-771-3176
Mailing Address - Street 1:126 STORRS RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD CENTER
Mailing Address - State:CT
Mailing Address - Zip Code:06250-1641
Mailing Address - Country:US
Mailing Address - Phone:860-771-3176
Mailing Address - Fax:860-423-1714
Practice Address - Street 1:750 MAIN ST STE 2M
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103-2703
Practice Address - Country:US
Practice Address - Phone:860-771-3176
Practice Address - Fax:860-423-1714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-08
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0488252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty