Active NPI
Kathy A McCloskey, PSY.D.
- Clinical Psychologist
- West Hartford, CT
National Provider Identifier
1457579583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 002466
- Practice address
- 200 Bloomfield Avenue
University of Hartford
West Hartford, CT 06117 - Phone
- (860) 768-4442
- Fax
- (860) 768-4814
- NPI assigned
- Apr 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 002466 | CT | Primary |
| Clinical Psychologist | 103TC0700X | 5582 | OH |
Addresses
Primary practice location
200 Bloomfield Avenue
University of Hartford
West Hartford, CT 06117
Mailing address
26 Guernsey Road
Bloomfield, CT 06002
Phone (860) 243-0373
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002466 | CT | MD | Clinical Psychologist |
| 5582 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457579583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 GUERNSEY ROAD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "06002",
"telephone_number": "860-243-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BLOOMFIELD AVENUE",
"address_2": "UNIVERSITY OF HARTFORD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "06117",
"telephone_number": "860-768-4442",
"fax_number": "860-768-4814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLOSKEY",
"first_name": "KATHY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "002466",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5582",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.