NPIMap

Organization Active NPI

Greenwich Child Psychology LLC

  • Clinical Child & Adolescent Psychologist
  • Greenwich, CT
National Provider Identifier
1003499526
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Dr. Judith Zackson, PHDNPI 1669802906
Title
Clinical Director, Founder
Phone
(203) 900-1666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

15 Valley Dr
Greenwich, CT 06831-5205

Mailing address

15 Valley Dr
Greenwich, CT 06831-5205
Phone (203) 900-1666

Other practice location 1

445 Park Ave
9th Floor, Suite 943
New York, NY 10022
Phone (212) 307-3142

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Greenwich, CT

Sources for this page

  • 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.