Active NPIOrganization

Shoreline Psychological

Psychologist, Clinical in Madison, Connecticut

NPI Number1750927802
Practice location
17A Woodland RD, Madison, CT 06443-2342
Fax
203-896-9830
Last updated
September 14, 2020

Shoreline Psychological is a healthcare organization based in Madison, CT. Shoreline Psychological practices in Madison, CT. The NPI Number for Shoreline Psychological is 1750927802. The current practice location address for Shoreline Psychological is 17A Woodland RD, Madison, CT 06443-2342 and can be reached out via phone at 203-779-5490 and via fax at 203-896-9830.

Provider Profile Details

NPI Number
1750927802
Provider Name
Shoreline Psychological
Provider Entity Type
Organization
Address
17A Woodland RD, Madison, CT 06443-2342
Phone Number
203-779-5490
Fax Number
203-896-9830
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Dr. Abby Lipschutz, PSYD · Director/Owner · 646-265-2850
Other Names
Shoreline Psychological (Former Legal Business Name)
Provider Enumeration Date
November 25, 2019
Last Update Date
September 14, 2020
Certification Date
September 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
17A Woodland RD
Madison, CT 06443-2342
Zip
06443-2342
Phone Number
203-779-5490
Fax Number
203-896-9830
Madison, CT 06443Get directions →

Provider Business Mailing Address Details

Address
17A Woodland RD
Madison, CT 06443-2342
City
Madison
State
CT
Zip
06443-2342
Phone Number
203-779-5490
Fax Number
203-896-9830

License Information

Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

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

Other Psychologist, Clinical providers near Madison, CT

View all Psychologist, Clinical providers in Madison →

Frequently Asked Questions

What is the NPI number of Shoreline Psychological?

The NPI number of Shoreline Psychological is 1750927802. It was assigned on November 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Shoreline Psychological?

Shoreline Psychological is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).

Where does Shoreline Psychological practice?

The practice location is 17A Woodland RD, Madison, CT 06443-2342. The office can be reached at 203-779-5490 (phone) or 203-896-9830 (fax).

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 1750927802 directly on the NPPES registry website.

Browse related providers