Amy C Beaulieu, PSY.D.
Individual provider Active NPI Clinical Psychologist · Farmington, CT
NPI 1346574589 · NPPES record last updated May 6, 2019
Key facts
- NPI
- 1346574589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 002968 (CT)
- Practice address
- 3 Forest Park Dr
Farmington, CT 06032-1468 - Phone
- (508) 654-0006
- Fax
- (860) 736-2048
- NPI assigned
- Sep 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9262 | MA | MD | Mental Health Counselor |
| 002968 | CT | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 002968 | CT | Yes |
Addresses
Primary practice location
3 Forest Park Dr
Farmington, CT 06032-1468
Mailing address
23 Wolf Hill Rd
Southington, CT 06489-3020
Phone (508) 654-0006
Other practice location 1
122 Wilmot Road
Behavioral Health
New Haven, CT 06515-0651
Phone (203) 503-3741
Other providers in Farmington, CT
- Shriya Nilesh Bavishi
- Sabrina Bawa
- Kadidja Bayor
- BB Preppers LLC
- Drew Danielle Beaubian
- Samar Bebers
- Ana F Becerra
- Alyssa Leilani Becker
- Kathryn Becker
- Kevin Becker
All providers in Farmington, 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 May 6, 2019. 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.