Active NPI
Linda Leiphart, PSYD
- Cognitive & Behavioral Psychologist
- Shelton, CT
National Provider Identifier
1023251931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 002605
- Practice address
- 1077 Bridgeport Ave
Suite 203
Shelton, CT 06484-4622 - Phone
- (203) 929-4774
- Fax
- (203) 929-4778
- NPI assigned
- Apr 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 002605 | CT | Primary |
| Clinical Psychologist | 103TC0700X | 002605 | CT | |
| Group Psychotherapy Psychologist | 103TP2701X | 002605 | CT |
Addresses
Primary practice location
1077 Bridgeport Ave
Suite 203
Shelton, CT 06484-4622
Mailing address
1077 Bridgeport Ave
Suite 203
Shelton, CT 06484-4622
Phone (203) 929-4774
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060002605CT03 | Other | CT | ANTHEM BLUE CROSS BLUE SHIELD |
| 61-40942 | Other | CT | CONNECTICARE |
| 7090679 | Other | TX | AETNA |
| 2223663 | Other | PA | CIGNA |
| 7090679 | Other | KY | AETNA |
| P3894525 | Other | CT | OXFORD HEALTH PLAN |
| 350879 | Other | KY | HEALTHNET |
| 556641 | Other | NY | VALUE OPTIONS BEHAVIORAL |
| 760842957 | Other | GA | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002605 | CT | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arborstone Psychological Services, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Shelton, CT
- NPI 1982747812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1023251931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1077 BRIDGEPORT AVE",
"address_2": "SUITE 203",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844622",
"telephone_number": "203-929-4774",
"fax_number": "203-929-4778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 BRIDGEPORT AVE",
"address_2": "SUITE 203",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844622",
"telephone_number": "203-929-4774",
"fax_number": "203-929-4778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIPHART",
"first_name": "LINDA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-08",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CT",
"license": "002605",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "002605",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CT",
"license": "002605",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "060002605CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "61-40942",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7090679",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2223663",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7090679",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "P3894525",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "350879",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS BEHAVIORAL",
"identifier": "556641",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "760842957",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.