Individual provider Active NPI

Nancy E. Legow, PH.D

  • Psychologist
  • Weston, CT
National Provider Identifier
1104943190
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
002008 Issued in CT
Practice address
6 Glenwood Rd
Weston, CT 06883-2322
Phone
(203) 246-8107
Fax
(475) 272-1811
NPI assigned
Mar 23, 2007
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 002008 CT Primary

Addresses

Primary practice location

6 Glenwood Rd
Weston, CT 06883-2322

Mailing address

6 Glenwood Rd
Weston, CT 06883-2322
Phone (203) 246-8107

Other names 1

  • Nancy Legow Other name

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
I20050503001321 CT Practitioner - Clinical Psychologist 9234179888 Practice locations: Weston, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 Glenwood Rd
Weston, CT 06883-2322
Phone (203) 246-8107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
002008CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut 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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1104943190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GLENWOOD RD",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068832322",
            "telephone_number": "203-246-8107",
            "fax_number": "475-272-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GLENWOOD RD",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068832322",
            "telephone_number": "203-246-8107",
            "fax_number": "475-272-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGOW",
        "first_name": "NANCY",
        "middle_name": "E.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "LEGOW",
            "credential": "PH.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weston, CT

Sources for this page

Verify at the official NPI Registry.