# CONNECTICUT PSYCHIATRIC SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255572079
- **Authorized official:** MR. JAY SEIGEL APRN (CEO)
- **Authorized official phone:** (860) 405-8330

## Contact information

- **Practice address:** 24 CHANNING ST, NEW LONDON, CT 06320-5735
- **Practice address phone:** (860) 442-3380
- **Mailing address:** 17 WOODLAND RD, MADISON, CT 06443-2342
- **Mailing address phone:** (860) 405-8330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 003815 | CT | Yes |

## Other

- **Enumeration date:** 03/09/2009
- **Last updated:** 10/13/2009