| Longpoint Psychiatric Services | |
|
112 New London Rd Groton CT 06340-4869 | |
| (860) 215-1410 | |
| (860) 661-4384 |
| Full Name | Longpoint Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 112 New London Rd, Groton, Connecticut |
| Authorized Official Name and Position | William Kornegay (PMHNP) |
| Authorized Official Contact | 8602151410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longpoint Psychiatric Services 54 Ronald Rd Groton CT 06340-3819 Ph: (860) 215-1410 | Longpoint Psychiatric Services 112 New London Rd Groton CT 06340-4869 Ph: (860) 215-1410 |
| NPI Number | 1427764877 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Medicare PECOS PAC ID | 1456726017 |
|---|---|
| Medicare Enrollment ID | O20230412002318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427764877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | William L. Kornegay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366160277 PECOS PAC ID: 1557733847 Enrollment ID: I20230215000484 |
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