Active NPI
Anna Loiterstein
- Clinical Child & Adolescent Psychologist
- Guilford, CT
National Provider Identifier
1003282674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 34 York St
Guilford, CT 06437-2473 - Phone
- (203) 453-2220
- NPI assigned
- Aug 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
34 York St
Guilford, CT 06437-2473
Mailing address
34 York St
Guilford, CT 06437-2473
Phone (203) 453-2220
Other practice location 1
750 Tilden St
Bronx, NY 10467-6013
Phone (718) 231-3400
Other practice location 2
101 E 56th St
New York, NY 10022
Phone (646) 625-4311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141397918 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | childmind.org | ||
| Other URL | guilfordpsychologicalservices.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 17, 2021 through Sep 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3949 | CT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1003282674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 YORK ST",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372473",
"telephone_number": "203-453-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 YORK ST",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372473",
"telephone_number": "203-453-2220"
}
],
"practiceLocations": [
{
"address_1": "750 Tilden St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104676013",
"country_code": "US",
"telephone_number": "718-231-3400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 E 56th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10022",
"country_code": "US",
"telephone_number": "646-625-4311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOITERSTEIN",
"first_name": "ANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141397918",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "childmind.org",
"affiliation": "N",
"address_1": "101 E 56th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100222661",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "guilfordpsychologicalservices.com",
"affiliation": "N",
"address_1": "34 York St",
"city": "Guilford",
"state": "CT",
"country_code": "US",
"postal_code": "064372473",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.