Active NPI
Carol Swenson, PH.D.
- Psychologist
- Westport, CT
National Provider Identifier
1295998706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1362
- Practice address
- 215 Main St
Westport, CT 06880-3210 - Phone
- (203) 222-9373
- Fax
- (203) 341-9443
- NPI assigned
- Jul 3, 2008
- 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 | 1362 | CT | Primary |
Addresses
Primary practice location
215 Main St
Westport, CT 06880-3210
Mailing address
215 Main St
Westport, CT 06880-3210
Phone (203) 222-9373
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140814001745 | CT | Practitioner - Clinical Psychologist | 6406073451 | Practice locations: Fairfield, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of North Texas HSC, College of Osteopathic Med, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
108 Cedar Woods LN
Fairfield, CT 06825-1308
Phone (203) 938-9157
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1295998706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 MAIN ST",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068803210",
"telephone_number": "203-222-9373",
"fax_number": "203-341-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 MAIN ST",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068803210",
"telephone_number": "203-222-9373",
"fax_number": "203-341-9443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON",
"first_name": "CAROL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "1362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.