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

Dr. Jack Thaw, PHD

Individual provider Clinical Psychologist · NPI 1801923586

Dr. Jack Thaw, PHD is a Clinical Psychologist in Glastonbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.

Licensed in
CT
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

300 Hebron Ave Ste 217 Counseling Affiliates Inc Medical Arts Center
Glastonbury, CT 06033
Phone: (860) 659-2697
Fax: (860) 659-3468
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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 001266 (CT)

Record details

NPI number1801923586
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJuly 8, 2007
Mailing address300 Hebron Ave, Suite 217 Counseling Affiliates Inc Medical Arts Center, Glastonbury, CT 06033

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