Active NPI
Sidney S Horowitz, PHD
- Psychologist
- Waterbury, CT
National Provider Identifier
1366551392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 001070
- Practice address
- 133 Scovill St
Suite 211
Waterbury, CT 06706-1127 - Phone
- (203) 573-9521
- Fax
- (203) 573-8708
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 001070 | CT | Primary |
Addresses
Primary practice location
133 Scovill St
Suite 211
Waterbury, CT 06706-1127
Mailing address
133 Scovill St
Suite 211
Waterbury, CT 06706-1127
Phone (203) 573-9521
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004054243 | Medicaid | CT | |
| 060001070CT01 | Other | CT | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 16, 2020 through Sep 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001070 | CT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1366551392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 SCOVILL ST",
"address_2": "SUITE 211",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061127",
"telephone_number": "203-573-9521",
"fax_number": "203-573-8708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 SCOVILL ST",
"address_2": "SUITE 211",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061127",
"telephone_number": "203-573-9521",
"fax_number": "203-573-8708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOROWITZ",
"first_name": "SIDNEY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "001070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004054243",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "060001070CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.