Active NPI
Jade Alysha Dewitt, M.D.
- Psychiatry Physician
- Westport, CT
National Provider Identifier
1386935864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 56998
- Practice address
- 3 Sylvan Rd S
Westport, CT 06880-4639 - Phone
- (203) 571-0085
- Fax
- (203) 349-8977
- NPI assigned
- May 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 56998 | CT | Primary |
Addresses
Primary practice location
3 Sylvan Rd S
Westport, CT 06880-4639
Mailing address
3 Sylvan Rd S
Westport, CT 06880-4639
Phone (203) 571-0085
Other practice location 1
140 W 79th St
Suite 1F2
New York, NY 10024-6421
Phone (646) 368-1827
Other practice location 2
127 Kings Hwy N
Westport, CT 06880-2422
Phone (203) 571-0085
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2019 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56998 | CT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1386935864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SYLVAN RD S",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804639",
"telephone_number": "203-571-0085",
"fax_number": "203-349-8977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SYLVAN RD S",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804639",
"telephone_number": "203-571-0085",
"fax_number": "203-349-8977"
}
],
"practiceLocations": [
{
"address_1": "140 W 79th St",
"address_2": "Suite 1F2",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100246421",
"country_code": "US",
"telephone_number": "646-368-1827",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "127 Kings Hwy N",
"address_purpose": "LOCATION",
"city": "Westport",
"state": "CT",
"postal_code": "068802422",
"country_code": "US",
"telephone_number": "203-571-0085",
"fax_number": "203-349-8977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEWITT",
"first_name": "JADE",
"middle_name": "ALYSHA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "56998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.