Glenda Paulhamus, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

002481 Issued in CT

Practice address

21 Waterville Rd
Avon, CT 06001-2097

Phone

(860) 674-2691

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dodie Paulhamus Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Medoptions Behavioral Health Assoc, LLC

  • Nurse Practitioner
  • Old Saybrook, CT
  • NPI 1588604060
  NPD (past)
• Rushford Center, Inc.

  • Psychologist
  • Meriden, CT
  • NPI 1275541005
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306869359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WATERVILLE RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012097",
            "telephone_number": "860-674-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WATERVILLE RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012097",
            "telephone_number": "860-674-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULHAMUS",
        "first_name": "GLENDA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DODIE",
            "last_name": "PAULHAMUS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anisha Patel
• Arti Jayesh Patel, PA-C
• Mital Patel, PA
• Wynne Elizabeth Patterson, MA, CCC-SLP
• Paul J Mahler LCSW LLC
• Crystal Pavis, LMT
• Jessica Sarkisian Pecevich, APRN
• Emily Peck, LMFT
• Pediatric Dental Center of Avon, LLC
• Yolanda M Pena, MD

• Psychologist in Avon, CT
• Providers in Avon, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.