Elizabeth Irene Rathbun, LPC, PSYD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003887 Issued in CT

Practice address

357 Whitney Ave Ste 206
New Haven, CT 06511-2364

Phone

(203) 974-2062

NPI assigned

Jul 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Elizabeth Irene Emprimo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1265631170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 WHITNEY AVE STE 206",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112364",
            "telephone_number": "203-974-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 WHITNEY AVE STE 206",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112364",
            "telephone_number": "203-974-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHBUN",
        "first_name": "ELIZABETH",
        "middle_name": "IRENE",
        "credential": "LPC, PSYD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2022-07-18",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6299",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "LPC#001628",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3887",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "EMPRIMO",
            "middle_name": "IRENE",
            "credential": "LPC, PSYD.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Zainab Rasheed
• Ali Abbas Rashid, MBBS
• Asghar Rastegar, MD
• William Andrew Ratchelous, RPH
• Richard Rodion Rathbone, M.D.
• Samira Rathnayake, M.D.
• Elena S Ratner, MD
• Howard E Ratner
• Douglas Richard Rau, PH.D.
• Gregory Jarvis Rau, P.A.

• Clinical Psychologist in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.