Active NPI
David J Sells
- Clinical Psychologist
- Milford, CT
National Provider Identifier
1235464579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 002964
- Practice address
- 88 Noble Ave
Ste 201
Milford, CT 06460-4738 - Phone
- (203) 988-7302
- Fax
- (203) 877-1404
- NPI assigned
- Oct 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 002964 | CT | Primary |
Addresses
Primary practice location
88 Noble Ave
Ste 201
Milford, CT 06460-4738
Mailing address
15 Shepard Rd
Woodbridge, CT 06525-2428
Phone (203) 988-7302
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091202000691 | CT | Practitioner - Clinical Psychologist | 4880733963 | Practice locations: Milford, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
88 Noble Ave
Suite 201
Milford, CT 06460-4738
Phone (203) 988-7302
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2964 | CT | MD | Orthopaedic Surgery Physician |
| 002964 | CT | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1235464579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SHEPARD RD",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065252428",
"telephone_number": "203-988-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 NOBLE AVE",
"address_2": "STE 201",
"city": "MILFORD",
"state": "CT",
"postal_code": "064604738",
"telephone_number": "203-988-7302",
"fax_number": "203-877-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLS",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-05",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "002964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.