National Provider Identifier Database

PAUL NYKLICEK, LMFT, LADC – NPI #1053473744
Addiction (Substance Use Disorder)


Contact Information

PAUL NYKLICEK, LMFT, LADC
790 FARMINGTON AVE
BUILDING 4A
FARMINGTON, CT06032-2300
Phone: 860-573-3650
Fax:
Website:
Specialty Taxonomy Code
* Addiction (Substance Use Disorder) 101YA0400X
Marriage & Family Therapist 106H00000X

* Indicates primary specialty

NPI Profile & details for PAUL NYKLICEK

NPI Number 1053473744
Credentials LMFT, LADC
Entity Individual
Enumeration date 12/15/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Yes
Identifiers
  • CT License #: 000240
  • CT License #: 000804
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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