Healthcare Provider Details

I. General information

NPI: 1578604500
Provider Name (Legal Business Name): JOSEPH KENNETH NOWINSKI PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 GOOSE LN
TOLLAND CT
06084-3417
US

IV. Provider business mailing address

16 MARBELLA LN
TOLLAND CT
06084-3933
US

V. Phone/Fax

Practice location:
  • Phone: 860-872-4829
  • Fax: 860-896-0523
Mailing address:
  • Phone: 860-872-4829
  • Fax: 860-896-0523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number912
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number912
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: