OrganizationActive
Connecticut Geriatric Psychological Services, PC
NPI 1124340203 · Adult Development & Aging Psychologist · Port Chester, NY
Provider details
- NPI number
- 1124340203
- Entity type
- Organization
- Primary specialty
- Adult Development & Aging PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Timothy Welles, President
- License
- 2657 (CT)
Practice location
112 Betsy Brown Rd
Port Chester, NY 10573-2231
Phone: (914) 937-6174
Fax: (914) 937-6174
Mailing address
112 Betsy Brown Rd
Port Chester, NY 10573-2231
Registry dates
- Enumerated
- 2010-02-17
- Last updated
- 2011-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.