Individual provider Active NPI

Georgann Witte, PH.D.

  • Psychologist
  • Hamden, CT
National Provider Identifier
1154330132
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
001730 Issued in CT
Practice address
295 Washington Ave
Suite 11
Hamden, CT 06518-3025
Phone
(475) 241-3767
Fax
(203) 281-0235
NPI assigned
Aug 7, 2006
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 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 001730 CT Primary

Addresses

Primary practice location

295 Washington Ave
Suite 11
Hamden, CT 06518-3025

Mailing address

295 Washington Ave
Suite 11
Hamden, CT 06518-3025
Phone (475) 241-3767

Other identifiers 1

IdentifierTypeStateIssuer
C02578OtherGROUP#

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
I20110323000118 CT Practitioner - Clinical Psychologist 6103725593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

295 Washington Ave
Suite 11
Hamden, CT 06518-3025
Phone (475) 241-3770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001730CTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgann Witte, PHD,LLC CurrentSince Jan 1, 2023 Accepting new patients
Arnold D Holzman PHD, LLC CurrentSince Jun 11, 2023 Accepting new patients
Behavioral Health Consultants, LLC Psychologist CurrentSince Jan 1, 2000 Accepting new patients

Locations

2319 Whitney Ave
Hamden, CT 06518
Phone (203) 288-1623

2319 Whitney Ave
Ste 5D
Hamden, CT 06518
Phone (203) 288-2554

295 Washington Ave
Ste 11
Hamden, CT 06518
Phone (475) 241-3767

3018 Dixwell Ave
Hamden, CT 06518
Phone (203) 281-5910

Organizations & group practices 3

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1154330132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 WASHINGTON AVE",
            "address_2": "SUITE 11",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183025",
            "telephone_number": "475-241-3767",
            "fax_number": "203-281-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 WASHINGTON AVE",
            "address_2": "SUITE 11",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183025",
            "telephone_number": "475-241-3767",
            "fax_number": "203-281-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE",
        "first_name": "GEORGANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "001730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP#",
            "identifier": "C02578",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.