Greenwich Child Psychology LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

GREENWICH CHILD PSYCHOLOGY LLC

Practice address

15 Valley Dr
Greenwich, CT 06831-5205

Phone

(203) 900-1666

Fax

(203) 900-1140

NPI assigned

May 3, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Judith Zackson, PHD

Title

Clinical Director, Founder

Phone

(203) 900-1666

Specialties & licenses 1

Addresses

Tax ID family

Greenwich Child Psychology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greenwich Child Psychology LLC

  • Psychologist
  • Greenwich, CT
  • NPI 1134996523
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1003499526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VALLEY DR",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315205",
            "telephone_number": "203-900-1666",
            "fax_number": "203-900-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 VALLEY DR",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315205",
            "telephone_number": "203-900-1666",
            "fax_number": "203-900-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Park Ave",
            "address_2": "9th Floor, Suite 943",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10022",
            "country_code": "US",
            "telephone_number": "212-307-3142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREENWICH CHILD PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "ZACKSON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, FOUNDER",
        "authorized_official_telephone_number": "203-900-1666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Child & Adolescent Psychologist in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Clinical Child & Adolescent Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.