Individual provider Active NPI

Joanne Elena Comstock, PSY.D.

  • Clinical Psychologist
  • Torrington, CT
National Provider Identifier
1033340302
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002949 Issued in CT
Practice address
249 Winsted Rd
Wcmhn-Torrington
Torrington, CT 06790-2958
Phone
(860) 496-3779
Fax
(860) 496-3868
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 002949 CT Primary

Addresses

Primary practice location

249 Winsted Rd
Wcmhn-Torrington
Torrington, CT 06790-2958

Mailing address

249 Winsted Rd
Wcmhn-Torrington
Torrington, CT 06790-2958
Phone (860) 496-3779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091013000763 CT Practitioner - Clinical Psychologist 6103962626 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002949CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Apr 6, 2016 Accepting new patients
State of Connecticut CurrentSince Apr 6, 2016 Accepting new patients

Locations

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

55 W Main St
Ste 410
Waterbury, CT 06702
Phone (203) 805-6408

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1033340302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 WINSTED RD",
            "address_2": "WCMHN-TORRINGTON",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067902958",
            "telephone_number": "860-496-3779",
            "fax_number": "860-496-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 WINSTED RD",
            "address_2": "WCMHN-TORRINGTON",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067902958",
            "telephone_number": "860-496-3779",
            "fax_number": "860-496-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMSTOCK",
        "first_name": "JOANNE",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.