Individual provider Active NPI

Kristina Schumann, PH.D.

  • Clinical Psychologist
  • Canton, CT
National Provider Identifier
1447662176
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003434 Issued in CT
Practice address
50 Albany Tpke
Suite 3010
Canton, CT 06019-2516
Phone
(860) 479-2563
NPI assigned
May 29, 2014
Last updated
Apr 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 003434 CT Primary

Addresses

Primary practice location

50 Albany Tpke
Suite 3010
Canton, CT 06019-2516

Mailing address

4 Camden Way
Avon, CT 06001-3236
Phone (860) 479-2563

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
I20150806011236 CT Practitioner - Clinical Psychologist 4385958123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 River Rd
Collinsville, CT 06019-3244
Phone (860) 479-2563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3434CTMDProfessional Counselor
003434CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwise Counseling, LLC Clinical CurrentSince Apr 15, 2015 Accepting new patients

Locations

50 Albany Tpke
Ste 3010
Canton, CT 06019
Phone (860) 479-2563

101 River Rd
Collinsville, CT 06019
Phone (860) 345-5738

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1447662176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CAMDEN WAY",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013236",
            "telephone_number": "860-479-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALBANY TPKE",
            "address_2": "SUITE 3010",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192516",
            "telephone_number": "860-479-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMANN",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, CT

Sources for this page

Verify at the official NPI Registry.