Active NPI
Christy L Olezeski, PHD
- Psychologist
- New Haven, CT
National Provider Identifier
1215260575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3318
- Practice address
- 1 Long Wharf Dr FL 5
New Haven, CT 06511 - Phone
- (929) 224-4775
- NPI assigned
- Sep 17, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 019218 | NY | |
| Psychologist | 103T00000X | 3318 | CT | Primary |
Addresses
Primary practice location
1 Long Wharf Dr FL 5
New Haven, CT 06511
Mailing address
774 Townsend Ave
New Haven, CT 06512-5018
Phone (929) 224-4775
Other practice location 1
487 South Broadway, #220
c/o WJCS
Yonkers, NY 10705
Phone (914) 423-4433
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3318 | CT | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
| 019218 | NY | MD | Speech-Language Pathologist |
Interoperability endpoints
- colezeski188893@direct.ynhh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1215260575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 TOWNSEND AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065125018",
"telephone_number": "929-224-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LONG WHARF DR FL 5",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "929-224-4775"
}
],
"practiceLocations": [
{
"address_1": "487 South Broadway, #220",
"address_2": "c/o WJCS",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "10705",
"country_code": "US",
"telephone_number": "914-423-4433",
"fax_number": "914-423-9434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLEZESKI",
"first_name": "CHRISTY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-17",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "019218",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "3318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.