Individual provider Active NPI

Judith P. Allik, PH.D.

  • Psychologist
  • Voluntown, CT
National Provider Identifier
1194994103
Registry record updated Feb 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
002491 Issued in CT
Practice address
70 Laurel Dr
Voluntown, CT 06384-2014
Phone
(860) 376-2226
Fax
(860) 376-2353
NPI assigned
Feb 23, 2008
Last updated
Feb 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 002491 CT Primary

Addresses

Primary practice location

70 Laurel Dr
Voluntown, CT 06384-2014

Mailing address

70 Laurel Dr
Voluntown, CT 06384-2014
Phone (860) 376-2226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
002491CTMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1203724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203724800000",
    "number": "1194994103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LAUREL DR",
            "city": "VOLUNTOWN",
            "state": "CT",
            "postal_code": "063842014",
            "telephone_number": "860-376-2226",
            "fax_number": "860-376-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LAUREL DR",
            "city": "VOLUNTOWN",
            "state": "CT",
            "postal_code": "063842014",
            "telephone_number": "860-376-2226",
            "fax_number": "860-376-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLIK",
        "first_name": "JUDITH",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-23",
        "last_updated": "2008-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voluntown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2008; 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.