Active NPI
Elizabeth Dawn Houghton, PSY.D.
- Clinical Psychologist
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 003959
- Practice address
- 682 Prospect Ave Ste 204
Hartford, CT 06105-4238 - Phone
- (860) 990-5444
- NPI assigned
- Mar 10, 2010
- Last updated
- May 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS1282 | ME | |
| Psychologist | 103T00000X | 003959 | CT | |
| Clinical Psychologist | 103TC0700X | PS1282 | ME | |
| Clinical Psychologist | 103TC0700X | 003959 | CT | Primary |
Addresses
Primary practice location
682 Prospect Ave Ste 204
Hartford, CT 06105-4238
Mailing address
930 N Main St
West Hartford, CT 06117-2031
Phone (530) 575-6773
Other practice location 1
784 Farmington Ave
West Hartford, CT 06119-1619
Phone (860) 523-4450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
682 Prospect Ave
Hartford, CT 06105-4238
Phone (860) 990-5444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS1282 | ME | MD | Psychologist |
| 003959 | CT | MD | Veterinarian |
| 3959 | CT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Maine | Current | Accepting new patients | |
| Clementine Counseling | Current | Accepting new patients | |
| True North Psychological LLC | Current | Accepting new patients | |
| State of Maine | Current | Accepting new patients |
Locations
682 Prospect Ave
Ste 204
Hartford, CT 06105
Phone (860) 990-5444
784 Farmington Ave
West Hartford, CT 06119
Phone (860) 245-9077
109 Capitol St
#11
Augusta, ME 04330
656 State St
Bangor, ME 04401
Phone (207) 941-4000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counseling Psychologist
- Hartford, CT
- NPI 1437895562
-
- Professional Counselor
- West Hartford, CT
- NPI 1205525524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1205159811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172031",
"telephone_number": "530-575-6773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 PROSPECT AVE STE 204",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061054238",
"telephone_number": "860-990-5444"
}
],
"practiceLocations": [
{
"address_1": "784 Farmington Ave",
"address_purpose": "LOCATION",
"city": "West Hartford",
"state": "CT",
"postal_code": "061191619",
"country_code": "US",
"telephone_number": "860-523-4450",
"fax_number": "860-523-9537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUGHTON",
"first_name": "ELIZABETH",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-10",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ME",
"license": "PS1282",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "003959",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "PS1282",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "003959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.