Professional Resource Group PC
Professional Resource Group PC is a healthcare organization registered as Clinical Psychologist in Mansfield Center, CT, holding Type 2 (organization) NPI 1710019963 since 2007. The authorized official on file is Gary Kanabay, Director President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710019963 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Professional Resource Group PC |
| Practice address | 207 STORRS RD # 174, Mansfield Center, CT, 06250 |
| Phone | 8604564604 |
| Fax | 8604561738 |
| Enumeration date | 2007-03-12 |
| Last updated in NPPES | 2014-05-01 |
Authorized official
| Name | Gary Kanabay |
|---|---|
| Title | Director President |
| Phone | 8604564604 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Secondary | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Secondary | — | CT |
| 106H00000X | Marriage & Family Therapist | Secondary | — | CT |
| 103TC0700X | Clinical Psychologist | Primary | — | CT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004398047 | Medicaid | CT | — |
| 008002985 | Medicaid | CT | — |
| 004255057 | Medicaid | CT | — |
| 620000199 | Other | CT | MEDICARE |
| 008033020 | Medicaid | CT | — |
| 297211 | Other | — | MHN |
| C007612 | Other | — | TRICARE |
| 004255007 | Medicaid | CT | — |
Copy-ready billing details
Provider: Professional Resource Group PC NPI: 1710019963 Taxonomy: 103TC0700X (Clinical Psychologist) Address: 207 STORRS RD # 174, Mansfield Center, CT, 06250
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164521753 | Gary Kanabay | Individual | Clinical Psychologist | Mansfield Center, CT |
Verify this record
Cross-check NPI 1710019963 against the authoritative CMS record: view Professional Resource Group PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-05-01.