Active NPIIndividual providerSole proprietor

Dr. Kelly A Schmidt, PHD

Psychologist, Clinical in Ellington, Connecticut

NPI Number1073828117
Practice location
16 Main St, Ellington, CT 06029-3360
Fax
—
Last updated
August 28, 2024

Kelly Ann Schmidt is a Psychologist, Clinical based in Ellington, CT. Kelly Ann Schmidt practices in Ellington, CT and has the professional credentials of PHD. The NPI Number for Kelly Ann Schmidt is 1073828117 and holds a License No. 002411 (CT). The current practice location address for Kelly Ann Schmidt is 16 Main St, Ellington, CT 06029-3360 and can be reached out via phone at 860-871-5402.

Provider Profile Details

NPI Number
1073828117
Provider Name
Kelly Ann Schmidt
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
16 Main St, Ellington, CT 06029-3360
Phone Number
860-871-5402
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 12, 2010
Last Update Date
August 28, 2024
Certification Date
August 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Main St
Ellington, CT 06029-3360
Zip
06029-3360
Phone Number
860-871-5402
Ellington, CT 06029Get directions →

Provider Business Mailing Address Details

Address
182 Waverly St
Cheshire, CT 06410-2516
City
Cheshire
State
CT
Zip
06410-2516
Phone Number
860-402-8020

License Information

License Number
002411
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kelly A Schmidt, PHD?

The NPI number of Dr. Kelly A Schmidt, PHD is 1073828117. It was assigned on August 12, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Kelly A Schmidt, PHD?

Dr. Kelly A Schmidt, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 002411.

Where does Dr. Kelly A Schmidt, PHD practice?

The practice location is 16 Main St, Ellington, CT 06029-3360. The office can be reached at 860-871-5402 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073828117 directly on the NPPES registry website.

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