Active NPI
Maud Purcell
- Psychologist
- Westport, CT
National Provider Identifier
1134704182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 001990
- Practice address
- 500 Post Rd E Ste 259
Westport, CT 06880-4431 - Phone
- (203) 733-9203
- NPI assigned
- Mar 11, 2021
- Last updated
- Mar 11, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 001990 | CT | Primary |
Addresses
Primary practice location
500 Post Rd E Ste 259
Westport, CT 06880-4431
Mailing address
500 Post Rd E Ste 259
Westport, CT 06880-4431
Phone (203) 733-9203
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 |
|---|---|---|---|
| 001990 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1134704182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 POST RD E STE 259",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804431",
"telephone_number": "203-733-9203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 POST RD E STE 259",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804431",
"telephone_number": "203-733-9203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "MAUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-11",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "001990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.