Individual provider Active NPI

Samantha M Hague, PSYD

  • Clinical Psychologist
  • Torrington, CT
National Provider Identifier
1134522592
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3786 Issued in CT
Practice address
80 Fern Dr
Torrington, CT 06790
Phone
(718) 298-3822
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MA
Clinical Psychologist 103TC0700X 3786 CT Primary

Addresses

Primary practice location

80 Fern Dr
Torrington, CT 06790

Mailing address

46 Sherwood Dr
Torrington, CT 06790-4228
Phone (413) 977-2099

Other practice location 1

50 Pleasant St
Northampton, MA 01060-3909
Phone (413) 585-1355

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
I20181120001883 CT Practitioner - Clinical Psychologist 0648524140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Psychological Services LLCGroup PAC ID 7911130216, 10 clinicians

Practice addresses (Care Compare)

80 Fern Dr
Torrington, CT 06790-3807
Phone (718) 298-4375

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
72.39
Improvement activities
40
Cost
72.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3786CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC Clinical CurrentSince Apr 22, 2019 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Oct 17, 2018 Accepting new patients

Locations

99 S Canaan Rd
Canaan, CT 06018
Phone (860) 824-3820

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

30 Park Ln E
New Milford, CT 06776
Phone (860) 355-0971

80 Fern Dr
Torrington, CT 06790
Phone (203) 294-7300

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

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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1134522592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SHERWOOD DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904228",
            "telephone_number": "413-977-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FERN DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "06790",
            "telephone_number": "718-298-3822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010603909",
            "country_code": "US",
            "telephone_number": "413-585-1355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGUE",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.