Active NPI
Justine McCabe, PH.D.
- Clinical Psychologist
- New Milford, CT
National Provider Identifier
1437249646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001786
- Practice address
- 88 Cherniske Rd
New Milford, CT 06776-4920 - Phone
- (860) 354-1822
- Fax
- (860) 355-9995
- NPI assigned
- Oct 16, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001786 | CT | Primary |
Addresses
Primary practice location
88 Cherniske Rd
New Milford, CT 06776-4920
Mailing address
88 Cherniske Rd
New Milford, CT 06776-4920
Phone (860) 354-1822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060001786CT01 | Other | CT | ANTHEM BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001786 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437249646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 CHERNISKE RD",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067764920",
"telephone_number": "860-354-1822",
"fax_number": "860-355-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 CHERNISKE RD",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067764920",
"telephone_number": "860-354-1822",
"fax_number": "860-355-9995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCABE",
"first_name": "JUSTINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "001786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "060001786CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Milford, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.