Active NPI
Elizabeth Leah Vitale, PSYD
- Psychologist
- Hartford, CT
National Provider Identifier
1386661841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- CT001898
- Practice address
- 682 Prospect Ave.
Hartford, CT 06105-4238 - Phone
- (860) 523-9011
- Fax
- (860) 523-9011
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- 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 | CT001898 | CT | Primary |
Addresses
Primary practice location
682 Prospect Ave.
Hartford, CT 06105-4238
Mailing address
682 Prospect Ave.
Hartford, CT 06105-4238
Phone (860) 523-9011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT001898 | CT | MD | Psychologist |
| 001898 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386661841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "682 PROSPECT AVE.",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061054238",
"telephone_number": "860-523-9011",
"fax_number": "860-523-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 PROSPECT AVE.",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061054238",
"telephone_number": "860-523-9011",
"fax_number": "860-523-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITALE",
"first_name": "ELIZABETH",
"middle_name": "LEAH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "CT001898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.