Polyxeni Kyriakopoulos-Cunningham, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002889 Issued in CT

Practice address

33 Pratt St
Glastonbury, CT 06033-1014

Phone

(860) 214-9458

Fax

(860) 430-6861

NPI assigned

May 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Polyxeni Kyriakopoulos Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1174735567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PRATT ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331014",
            "telephone_number": "860-214-9458",
            "fax_number": "860-430-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PRATT ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331014",
            "telephone_number": "860-214-9458",
            "fax_number": "860-430-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRIAKOPOULOS-CUNNINGHAM",
        "first_name": "POLYXENI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POLYXENI",
            "last_name": "KYRIAKOPOULOS",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.