Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric Psychology of Connecticut, LLC

Organization Clinical Psychologist · NPI 1679839229

Pediatric Psychology of Connecticut, LLC provides Clinical Psychologist services 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 Not confirmed with CMS for 14 years — call before visiting
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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