Individual provider Active NPI

Michelle Nitto Leveille, PSY.D.

  • Clinical Psychologist
  • Rocky Hill, CT
National Provider Identifier
1184604381
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002454 Issued in CT
Practice address
750 Old Main St
Suite 306
Rocky Hill, CT 06067-1567
Phone
(860) 524-7538
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 002454 CT Primary

Addresses

Primary practice location

750 Old Main St
Suite 306
Rocky Hill, CT 06067-1567

Mailing address

97 Whittlesey Rd
Woodbury, CT 06798-2535
Phone (203) 510-1494

Other names 1

  • Mrs. Michelle Nitto Professional name

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
I20040420000548 CT Practitioner - Clinical Psychologist 8729073523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

43 Sherman Hill Rd
Suite D204
Woodbury, CT 06798-3673
Phone (860) 524-7538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle M Nitto, Psy.D. LLC Clinical CurrentSince Nov 1, 2005 Accepting new patients
John Kurkjian, LLC Clinical Past Accepting new patients
Beacon Behavioral Services LLC Past Accepting new patients
Waterbury Hospital Past Accepting new patients

Locations

750 Old Main St
Ste 306
Rocky Hill, CT 06067
Phone (860) 524-7538

43 Sherman Hill Rd
Ste D204
Woodbury, CT 06798
Phone (860) 524-7538

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1184604381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 WHITTLESEY RD",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067982535",
            "telephone_number": "203-510-1494",
            "fax_number": "203-573-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 OLD MAIN ST",
            "address_2": "SUITE 306",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671567",
            "telephone_number": "860-524-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVEILLE",
        "first_name": "MICHELLE",
        "middle_name": "NITTO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "NITTO",
            "prefix": "MRS.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.