Individual provider Active NPI

Elizabeth Dawn Houghton, PSY.D.

  • Clinical Psychologist
  • Hartford, CT
National Provider Identifier
1205159811
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003959 Issued in CT
Practice address
682 Prospect Ave Ste 204
Hartford, CT 06105-4238
Phone
(860) 990-5444
NPI assigned
Mar 10, 2010
Last updated
May 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100604000438 ME Practitioner - Clinical Psychologist 8224168026 Reassigns benefits to 1 organization
I20210419001572 CT Practitioner - Clinical Psychologist 8224168026 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PS1282MEMDPsychologist
003959CTMDVeterinarian
3959CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State of Maine CurrentSince Mar 17, 2010 Accepting new patients
Clementine Counseling CurrentSince May 7, 2023 Accepting new patients
True North Psychological LLC CurrentSince Jun 1, 2022 Accepting new patients
State of Maine CurrentSince Mar 17, 2010 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.

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

Verify at the official NPI Registry.