Individual provider Active NPI

Helen Sackler, PH.D.

  • Clinical Psychologist
  • Orange, CT
National Provider Identifier
1194963876
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002151 Issued in CT
Practice address
370 Boston Post Rd Ste 3
Orange, CT 06477-3534
Phone
(203) 988-1915
Fax
(203) 298-4563
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2024

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 002151 CT Primary

Addresses

Primary practice location

370 Boston Post Rd Ste 3
Orange, CT 06477-3534

Mailing address

810 Robert Treat Dr
Orange, CT 06477-1617

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
I20160725001974 CT Practitioner - Clinical Psychologist 5698068914 Practice locations: Orange, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

325 Boston Post Rd
Suite 2C
Orange, CT 06477-3504
Phone (203) 988-1915

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002151CTMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708214400000",
    "number": "1194963876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 ROBERT TREAT DR",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064771617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 BOSTON POST RD STE 3",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773534",
            "telephone_number": "203-988-1915",
            "fax_number": "203-298-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKLER",
        "first_name": "HELEN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.