Abby Lipschutz, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002850 Issued in CT

Practice address

17A Woodland Rd
Madison, CT 06443-2342

Phone

(646) 265-2850

Fax

(203) 896-9830

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Abby Lyn Goldstein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shoreline Psychological

  • Clinical Psychologist
  • Madison, CT
  • NPI 1750927802
  NPD Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1144347287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17A WOODLAND RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432342",
            "telephone_number": "203-779-5490",
            "fax_number": "203-896-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17A WOODLAND RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432342",
            "telephone_number": "646-265-2850",
            "fax_number": "203-896-9830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "943 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064433236",
            "country_code": "US",
            "telephone_number": "203-779-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPSCHUTZ",
        "first_name": "ABBY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016517",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "GOLDSTEIN",
            "middle_name": "LYN",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Lawler
• Leigh Nathan, MD PLLC
• Kristin N Lichtenberg, MD
• Lindsay Benjamin LCSW PLLC
• Anna Malgorzata Lipka, RD
• Lisa Bioty, LLC
• Rachel Litwin, PSY.D.
• Estela Lopez-Espelin, LCSW, MA
• Lyn A. Lunn, O.T.
• Karl Michael Lussier, PHARM.D

• Clinical Psychologist in Madison, CT
• Providers in Madison, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.