Amy C Beaulieu, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002968 Issued in CT

Practice address

3 Forest Park Dr
Farmington, CT 06032-1468

Phone

(508) 654-0006

Fax

(860) 736-2048

NPI assigned

Sep 21, 2009

Last updated

May 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1346574589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WOLF HILL RD",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893020",
            "telephone_number": "508-654-0006",
            "fax_number": "860-736-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FOREST PARK DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321468",
            "telephone_number": "508-654-0006",
            "fax_number": "860-736-2048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Wilmot Road",
            "address_2": "Behavioral Health",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065150651",
            "country_code": "US",
            "telephone_number": "203-503-3741",
            "fax_number": "203-503-6564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAULIEU",
        "first_name": "AMY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro Andres Bautista, CRNA
• Shriya Nilesh Bavishi, MBBS
• Kadidja Bayor, DO
• BB Preppers LLC
• Drew Danielle Beaubian, MD
• Samar Bebers, BDS
• Ana F Becerra
• Alyssa Leilani Becker, MD
• Kathryn Becker, MD
• Kevin Becker, M.D.-PH.D

• Clinical Psychologist in Farmington, CT
• Providers in Farmington, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.