Active NPI
Eguono Voke Akpoduado, PSY.D.
- Psychologist
- Groton, CT
National Provider Identifier
1245956978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810008245
- Practice address
- 1 Wahoo Ave
Groton, CT 06349-2324 - Phone
- (860) 694-4998
- NPI assigned
- Oct 14, 2022
- Last updated
- Jan 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | NU | ||
| Psychologist | 103T00000X | 0810008245 | VA | Primary |
Addresses
Primary practice location
1 Wahoo Ave
Groton, CT 06349-2324
Mailing address
1 Wahoo Ave
Groton, CT 06349-2324
Phone (860) 694-4998
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | AHLTA | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810008245 | VA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1245956978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WAHOO AVE",
"city": "GROTON",
"state": "CT",
"postal_code": "063492324",
"telephone_number": "860-694-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WAHOO AVE",
"city": "GROTON",
"state": "CT",
"postal_code": "063492324",
"telephone_number": "860-694-4998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKPODUADO",
"first_name": "EGUONO",
"middle_name": "VOKE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-14",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810008245",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "AHLTA",
"affiliation": "N",
"endpointDescription": "Electronic medical records software",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Electronic medical records",
"address_1": "NMRTC Yokosuka",
"address_2": "Naval Hospital",
"city": "FPO",
"state": "AP",
"country_code": "US",
"postal_code": "963501200",
"country_name": "United States",
"address_type": "MIL"
}
],
"other_names": []
}Other providers in Groton, CT
- George Dennis Adrian, O.D.
- Advanced Back and Neck Care Center LLC
- Ron A. Agostini, P.T.
- Airline Drug Inc (Louis & Clark Medical Supply)
- Jared E. Akers, IDC
- Therese Alexander-Ssebagala, LCSW
- Jean E Allbee-Roberson, M.S., LMFT
- Veronica Alleyne, LCSW
- Alliance Behavioral Services, LLC
- Mahmoud Ahamd Zaki Alsabbagh, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.