Amy L Rickett, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

004367 Issued in CT

Practice address

15 N Main St Ste 100
West Hartford, CT 06107-1957

Phone

(860) 617-6125

NPI assigned

Nov 7, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leap-Lifelong Empowerment ABA and Psychotherapy LLCGroup PAC ID 3577093012, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Leap-Lifelong Empowerment ABA & Psychotherapy LLC

  • Mental Health Counselor
  • Farmington, CT
  • NPI 1740010297
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1215750179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 STAFFORD HOLLOW RD",
            "city": "MONSON",
            "state": "MA",
            "postal_code": "010579329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N MAIN ST STE 100",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071957",
            "telephone_number": "860-617-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETT",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "11982",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "004367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay M Richards, PT
• Megan Kathleen Richardson, APRN
• Nikki L Richer, LCSW
• Patricia Conlon Rickart, RPT
• Jeremiah Ricketson
• Allison Riege, MA, PSY.D.
• Anne Riener, MFT
• Kelly Ann Riggieri, APRN
• Joan L Rishel, PA-C
• Romely Maura Ritoli-Lang, R.D.

• Psychologist in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.

Verify at the official NPI Registry.