Individual provider Active NPI

Ellen Marie Galat, PSY.D.

  • Clinical Psychologist
  • Wilton, CT
National Provider Identifier
1093725848
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003429 Issued in CT
Practice address
85 Old Ridgefield Rd
Wilton, CT 06897-3023
Phone
(203) 945-1619
Fax
(203) 296-1504
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 438546 MA
Clinical Psychologist 103TC0700X 003429 CT Primary

Addresses

Primary practice location

85 Old Ridgefield Rd
Wilton, CT 06897-3023

Mailing address

85 Old Ridgefield Rd
Wilton, CT 06897-3023
Phone (203) 945-1619

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
I20151021002007 CT Practitioner - Clinical Psychologist 8224347885 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

85 Old Ridgefield Rd
Wilton, CT 06897-3023
Phone (203) 945-1619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
438546MAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Health Psych PC CurrentSince Oct 1, 2020 Accepting new patients
Harvest Healthcare LLC CurrentSince Jul 8, 2019 Accepting new patients
Meadow Springs, LLC Clinical CurrentSince Jan 21, 2022 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Dec 10, 2018 Accepting new patients
Step Up Care PC LLC Clinical CurrentSince Apr 22, 2019 Accepting new patients
Impact Health P.C. Clinical CurrentSince Sep 11, 2020 Accepting new patients

Locations

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

540 Bond St
Bridgeport, CT 06610
Phone (203) 384-6400

38 Talmadge Ave
East Haven, CT 06512
Phone (203) 469-2316

96 Prospect Hill Rd
East Windsor, CT 06088
Phone (860) 253-2617

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

14 Westport Ave
Norwalk, CT 06851
Phone (203) 497-3867

240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

930 Mill Hill Ter
Southport, CT 06890
Phone (203) 259-7894

85 Old Ridgefield Rd
Wilton, CT 06897
Phone (203) 664-5838

15 River Rd
Ste 15B
Wilton, CT 06897
Phone (203) 401-8464

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 6

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1093725848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 OLD RIDGEFIELD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973023",
            "telephone_number": "203-945-1619",
            "fax_number": "203-296-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 OLD RIDGEFIELD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973023",
            "telephone_number": "203-945-1619",
            "fax_number": "203-296-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALAT",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MA",
            "license": "438546",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

Verify at the official NPI Registry.