Active NPI
Elizabeth Courtney-Seidler, PH.D.
- Clinical Psychologist
- Ridgefield, CT
National Provider Identifier
1245647965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3604
- Practice address
- 100B Danbury Road
Suite 105B
Ridgefield, CT 06877 - Phone
- (203) 297-8583
- NPI assigned
- Jul 15, 2014
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 020668 | NY | |
| Clinical Psychologist | 103TC0700X | 3604 | CT | Primary |
Addresses
Primary practice location
100B Danbury Road
Suite 105B
Ridgefield, CT 06877
Mailing address
100B Danbury Road
Suite 105B
Ridgefield, CT 06877
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020668 | Other | NY | LICENSE NUMBER |
| 3604 | Other | CT | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Nov 20, 2015 through Nov 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive and Behavioral Therapies of Ridgefield, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Ridgefield, CT
- NPI 1528579398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1245647965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100B DANBURY ROAD",
"address_2": "SUITE 105B",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "06877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100B DANBURY ROAD",
"address_2": "SUITE 105B",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "06877",
"telephone_number": "203-297-8583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURTNEY-SEIDLER",
"first_name": "ELIZABETH",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020668",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "3604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "020668",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "3604",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.