Individual provider Active NPI

Katelyn Moriah Smith-Bresky, PSY.D.

  • Counseling Psychologist
  • Darien, CT
National Provider Identifier
1376240804
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
330 Post Rd
Darien, CT 06820-3600
Phone
(203) 202-7654
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

330 Post Rd
Darien, CT 06820-3600

Mailing address

44 Greenway St
Hamden, CT 06517-1318
Phone (440) 223-7123

Other names 1

  • Moriah Smith-Bresky Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502002571 CT Practitioner - Clinical Psychologist 4385161306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clifford W Beers Guidance Clinic IncGroup PAC ID 1951771054, 14 clinicians

Practice addresses (Care Compare)

93 Edwards St
New Haven, CT 06511-3933
Phone (203) 772-1270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Root & Reach Professional LTD Liability Co CurrentSince Apr 6, 2025 Accepting new patients
Clifford W. Beers Guidance Clinic Inc CurrentSince Feb 28, 2025 Accepting new patients

Locations

41 Marne St
Hamden, CT 06514
Phone (203) 691-9383

93 Edwards St
New Haven, CT 06511
Phone (203) 772-1270

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1376240804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 GREENWAY ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065171318",
            "telephone_number": "440-223-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 POST RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068203600",
            "telephone_number": "203-202-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-BRESKY",
        "first_name": "KATELYN MORIAH",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORIAH",
            "last_name": "SMITH-BRESKY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Darien, CT

Sources for this page

Verify at the official NPI Registry.