Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Psychology of Connecticut, LLC

Organization Clinical Psychologist · NPI 1679839229

Pediatric Psychology of Connecticut, LLC is a Clinical Psychologist in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2012.

Licensed in
CT
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

413 Orange St Ste 1
New Haven, CT 06511-6424
Phone: (888) 342-6002
Fax: (347) 344-6594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3139 (CT)

Record details

NPI number1679839229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Grudberg — Member · (888) 342-6002
NPI enumeratedApril 9, 2012
Last updated in NPPESApril 9, 2012
Mailing addressPo Box 4098, Woodbridge, CT 06525-0298

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