Individual provider Active NPI

Nicole M Barcelos, PSY.D.

  • Clinical Neuropsychologist
  • Windsor, CT
National Provider Identifier
1467820944
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3566 Issued in CT
Practice address
100 Deerfield Rd
Windsor, CT 06095-4252
Phone
(860) 270-0600
Fax
(860) 748-4432
NPI assigned
Sep 14, 2015
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3566 CT Primary
Clinical Neuropsychologist 103G00000X 021324 NY
Clinical Psychologist 103TC0700X 3566 CT

Addresses

Primary practice location

100 Deerfield Rd
Windsor, CT 06095-4252

Mailing address

100 Deerfield Rd
Windsor, CT 06095-4252
Phone (860) 270-0600

Other identifiers 3

IdentifierTypeStateIssuer
000427298001OtherNYBLUESHIELD OF NORTHEASTERN NY
PRC200326293OtherNYCAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN, INC.
V38N41OtherNYEMPIRE BLUECROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151013000107 NY Practitioner - Clinical Psychologist 8426367574 Practice locations: Saratoga Springs, NY
I20170214001763 CT Practitioner - Clinical Psychologist 8426367574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Neuropsychology LLCGroup PAC ID 3375602931, 16 clinicians

Practice addresses (Care Compare)

100 Deerfield Rd
Windsor, CT 06095-4252
Phone (860) 270-0600

609 W Johnson Ave
Suite 104
Cheshire, CT 06410-4506
Phone (203) 272-6007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3566CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Capitol Region and Eastern Connecticut Current Accepting new patients
Northeast Neuropsychology, LLC Clinical Neuropsychologist CurrentSince Sep 1, 2017 Accepting new patients
Advanced Telepsych PLLC CurrentSince Jan 1, 2024 Accepting new patients
Easter Seals Capital Region & Eastern Connecticut, Inc. Clinical Neuropsychologist CurrentSince Dec 14, 2016 Accepting new patients

Locations

609 W Johnson Ave
Ste 104
Cheshire, CT 06410
Phone (203) 272-6007

231 Farmington Ave
Fl 3
Farmington, CT 06032
Phone (888) 344-3893

100 Deerfield Rd
Windsor, CT 06095
Phone (860) 270-0600

Organizations & group practices 4

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1467820944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEERFIELD RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954252",
            "telephone_number": "860-270-0600",
            "fax_number": "860-748-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DEERFIELD RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954252",
            "telephone_number": "860-270-0600",
            "fax_number": "860-748-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCELOS",
        "first_name": "NICOLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "3566",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "021324",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3566",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD OF NORTHEASTERN NY",
            "identifier": "000427298001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN, INC.",
            "identifier": "PRC200326293",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUECROSS",
            "identifier": "V38N41",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

Verify at the official NPI Registry.