Individual provider Active NPI

Kathryn Anna Patterson, PSYD

  • Clinical Psychologist
  • Middletown, CT
National Provider Identifier
1255627899
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3480 Issued in CT
Practice address
675 Main Street
Middletown, CT 06457-2632
Phone
(860) 347-6971
NPI assigned
Jun 22, 2011
Last updated
Sep 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X 3480 CT
Clinical Psychologist 103TC0700X 3480 CT Primary

Addresses

Primary practice location

675 Main Street
Middletown, CT 06457-2632

Mailing address

675 Main Street
Middletown, CT 06457-2632
Phone (860) 347-6971

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170915002539 CT Practitioner - Clinical Psychologist 7416221346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center IncGroup PAC ID 0547169138, 149 clinicians

Practice addresses (Care Compare)

19 Grand St
Middletown, CT 06457-2705

675 Main St
Middletown, CT 06457-2732
Phone (860) 347-6971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3480CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc CurrentSince Feb 1, 2024 Accepting new patients
Kate Patterson, PSYD LLC CurrentSince Feb 18, 2024 Accepting new patients
Northeast Neuropsychology, LLC CurrentSince Jul 15, 2017 Accepting new patients
Advanced Telepsych PLLC CurrentSince Jan 1, 2024 Accepting new patients
Community Health Center Inc Clinical CurrentSince Feb 1, 2024 Accepting new patients
James W. Pier, PH.D., LLC Past Accepting new patients

Locations

422 Highland Ave
Bldg C
Cheshire, CT 06410
Phone (203) 272-6007

609 W Johnson Ave
Ste 104
Cheshire, CT 06410
Phone (203) 272-6007

700 W Johnson Ave
Ste 310
Cheshire, CT 06410
Phone (203) 272-6007

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1255627899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 MAIN STREET",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572632",
            "telephone_number": "860-347-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 MAIN STREET",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572632",
            "telephone_number": "860-347-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KATHRYN",
        "middle_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "3480",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.