John Beauvais, PH.D.
Individual provider Active NPI Clinical Psychologist · West Haven, CT
NPI 1003908781 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1003908781
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 002320 (CT)
- Practice address
- VA Connecticut Healthcare System (116B)
950 Campbell Avenue
West Haven, CT 06516 - Phone
- (203) 932-5711
- Fax
- (203) 937-4951
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 002320 | CT | |
| Clinical Psychologist | 103TC0700X | 002320 | CT | Yes |
Addresses
Primary practice location
VA Connecticut Healthcare System (116B)
950 Campbell Avenue
West Haven, CT 06516
Mailing address
136 Barberry Road
Southport, CT 06890
Phone (203) 254-0639
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All providers in West Haven, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.