Ilan Harpaz-Rotem, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002621 Issued in CT

Practice address

VA Healthcare System Psychology Services 116B
950 Campbell Ave
West Haven, CT 06516

Phone

(203) 932-5711

Fax

(203) 937-3433

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144338229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GEORGE ST STE 901",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116662",
            "telephone_number": "203-932-5711",
            "fax_number": "203-937-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA HEALTHCARE SYSTEM PSYCHOLOGY SERVICES 116B",
            "address_2": "950 CAMPBELL AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "203-932-5711",
            "fax_number": "203-937-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPAZ-ROTEM",
        "first_name": "ILAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret M Hansley, RN, WHNP
• Ahmed Haque, M.D.
• Harbor View Manor, Inc.
• Harbor View Manor, Inc.
• Andrea Sue Harmon, PHD, ATC
• Faith L Harrington, FNP-C
• Natasha Harris, NP CNS
• Hars Medical Professional LLC
• Helen Crystal Hart-Gai, RN, APRN
• Kristin R. Harvey, LCSW

• Clinical Psychologist in West Haven, CT
• Providers in West Haven, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.