Active NPI
Teresa D'Elisa, PSYD
- Psychologist
- New Canaan, CT
National Provider Identifier
1255864898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3644
- Practice address
- 140 Elm St
Suite 5
New Canaan, CT 06840-5400 - Phone
- (203) 966-9203
- NPI assigned
- Apr 11, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3644 | CT | Primary |
Addresses
Primary practice location
140 Elm St
Suite 5
New Canaan, CT 06840-5400
Mailing address
140 Elm St
Suite 5
New Canaan, CT 06840-5400
Phone (203) 966-9203
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1255864898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 ELM ST",
"address_2": "SUITE 5",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068405400",
"telephone_number": "203-966-9203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 ELM ST",
"address_2": "SUITE 5",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068405400",
"telephone_number": "203-966-9203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ELISA",
"first_name": "TERESA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-11",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "3644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Canaan, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.