Individual provider Active NPI

Kristin Babigian, PSY.D.

  • Psychologist
  • Simsbury, CT
National Provider Identifier
1154575439
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
002901 Issued in CT
Practice address
18 Phelpscroft Rd
Simsbury, CT 06070-2149
Phone
(860) 906-7062
Fax
(860) 909-0020
NPI assigned
Nov 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 002901 CT Primary

Addresses

Primary practice location

18 Phelpscroft Rd
Simsbury, CT 06070-2149

Mailing address

18 Phelpscroft Rd
Simsbury, CT 06070-2149
Phone (860) 906-7062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2022 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002901CTMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1154575439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PHELPSCROFT RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702149",
            "telephone_number": "860-906-7062",
            "fax_number": "860-909-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PHELPSCROFT RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702149",
            "telephone_number": "860-906-7062",
            "fax_number": "860-909-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABIGIAN",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simsbury, CT

Sources for this page

Verify at the official NPI Registry.