Individual provider Active NPI

Janel Swaye Macdermott, PSY.D.

  • Psychologist
  • West Hartford, CT
National Provider Identifier
1194977173
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
002999 Issued in CT
Practice address
2446 Albany Ave
Suite 2
West Hartford, CT 06117-2598
Phone
(860) 436-8494
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 002999 CT Primary

Addresses

Primary practice location

2446 Albany Ave
Suite 2
West Hartford, CT 06117-2598

Mailing address

2446 Albany Ave
Suite 2
West Hartford, CT 06117-2598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 5, 2016 through Jan 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002999CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1194977173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 ALBANY AVE",
            "address_2": "SUITE 2",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 ALBANY AVE",
            "address_2": "SUITE 2",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172598",
            "telephone_number": "860-436-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDERMOTT",
        "first_name": "JANEL",
        "middle_name": "SWAYE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.