Active NPI
Stephanie A. Field, PSY.D.
- Clinical Psychologist
- Glastonbury, CT
National Provider Identifier
1063866192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 003428
- Practice address
- 122A Naubuc Ave
Suite 214
Glastonbury, CT 06033-4246 - Phone
- (860) 266-7296
- NPI assigned
- Apr 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 003428 | CT | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 003428 | CT | |
| Psychologist | 103T00000X | 003428 | CT | |
| Poetry Therapist | 102X00000X | 003428 | CT |
Addresses
Primary practice location
122A Naubuc Ave
Suite 214
Glastonbury, CT 06033-4246
Mailing address
122A Naubuc Ave
Suite 214
Glastonbury, CT 06033-4246
Phone (860) 266-7296
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 |
|---|---|---|---|
| 003428 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copper Beech Psychological Services | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Glastonbury, CT
- NPI 1295182566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1063866192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122A NAUBUC AVE",
"address_2": "SUITE 214",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334246",
"telephone_number": "860-266-7296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122A NAUBUC AVE",
"address_2": "SUITE 214",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334246",
"telephone_number": "860-266-7296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELD",
"first_name": "STEPHANIE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-14",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "003428",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "003428",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "003428",
"primary": false
},
{
"code": "102X00000X",
"taxonomy_group": "",
"desc": "Poetry Therapist",
"state": "CT",
"license": "003428",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.