Provider Demographics
NPI:1427684141
Name:APEX PSYCHOLOGICAL SERVICES LLC
Entity type:Organization
Organization Name:APEX PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMISANO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:203-298-4572
Mailing Address - Street 1:260 AMITY RD STE 202
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-2222
Mailing Address - Country:US
Mailing Address - Phone:203-298-4572
Mailing Address - Fax:203-298-9007
Practice Address - Street 1:260 AMITY RD STE 202
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:CT
Practice Address - Zip Code:06525-2222
Practice Address - Country:US
Practice Address - Phone:203-298-4572
Practice Address - Fax:203-298-9007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1356733778OtherNPPES
CT1437286614OtherNPPES