INTEGRATIVE PSYCHOLOGICAL CENTER LLC
NPI: 1306318670
· HARTFORD, CT 06106
· Clinical Psychologist
· NPI assigned 12/26/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WALLACE, RANDALL (OWNER/PSYCHOLOGIST) |
| NPI Enumeration Date | 12/26/2018 |
Related Entities
Other providers sharing the same authorized official: WALLACE, RANDALL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
70 |
$0.00 |
| 2019 |
106 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90837 |
Psychotherapy, 53 minutes with patient |
176 |
81 |
$0.00 |