William Scott Abbott, PSY.D
Individual provider Active NPI Clinical Psychologist · North Haven, CT
NPI 1295991024 · NPPES record last updated Oct 4, 2014
Key facts
- NPI
- 1295991024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 002444 (CT)
- Practice address
- 16 Broadway
1St Floor
North Haven, CT 06473-2301 - Phone
- (203) 507-4117
- NPI assigned
- Jul 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002444 | CT | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 002444 | CT | Yes |
Addresses
Primary practice location
16 Broadway
1St Floor
North Haven, CT 06473-2301
Mailing address
16 Broadway
1St Floor
North Haven, CT 06473-2301
Phone (203) 507-4117
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11241043 | Other | CT | CAQH |
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All providers in North Haven, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.