Stacy R Ullman, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4291 Issued in NJ

Practice address

154 Danbury Rd
Wilton, CT 06897-4437

Phone

(516) 946-9591

Fax

(908) 273-3355

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Om Psychological Services

  • Clinical Psychologist
  • Summit, NJ
  • NPI 1073474466
  NPD (past)
• Summit Psychological Services PA

  • Psychologist
  • Summit, NJ
  • NPI 1992893317
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1447348867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974437",
            "telephone_number": "516-946-9591",
            "fax_number": "908-273-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974437",
            "telephone_number": "516-946-9591",
            "fax_number": "908-273-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLMAN",
        "first_name": "STACY",
        "middle_name": "R",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "4291",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015148",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Townsend
• Viviane Trinh
• Davide Mark Trinkley, OTD, OTR/L
• Lisa Rose Trofa, ND
• Cortney Marie Tyszka, MS, ATC, LAT
• Davida B Unterbach, DSW LCSW
• Jessica Vazquez
• VC Wilton LLC
• Tracey Velo, FNP-BC
• Jamie Suzanne Vernon, MSCCCSLP

• Psychologist in Wilton, CT
• Providers in Wilton, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.