Khadijah Nelly Cyril, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

024546 Issued in NY

Practice address

275 Circular Ave Apt 1C
Hamden, CT 06514-4047

Phone

(203) 671-0171

NPI assigned

Feb 2, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1194478792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E MAIN ST # 621",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012113",
            "telephone_number": "203-772-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CIRCULAR AVE APT 1C",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144047",
            "telephone_number": "203-671-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYRIL",
        "first_name": "KHADIJAH",
        "middle_name": "NELLY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "4166",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Culbertson, MS CCC SLP
• Kayla Cullen, AU.D., CCC-A
• Geneva Cunningham
• Stephanie Lynn Cuomo, LMFT
• Stacey Elizabeth Curran, RBT
• Kara Marie Czarnecki, LPC
• Alisa Layla D'Andrea, MFTA
• Ronald J D'Andrea, DMD
• Erin Dahlke
• Gail Joan Dalby, SPECIALIST

• Psychologist in Hamden, CT
• Providers in Hamden, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.