Active NPI
Aed Psychotherapy, LLC
- Counseling Psychologist
- New Canaan, CT
National Provider Identifier
1477181790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Legal business name
- AED PSYCHOTHERAPY, LLC
- Practice address
- 140 Elm St Ste 1
New Canaan, CT 06840-5400 - Phone
- (203) 240-2121
- NPI assigned
- Mar 31, 2020
- Last updated
- Mar 31, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Dickerson, LPC
- Title
- Owner/Psychotherapist
- Phone
- (203) 402-2121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
140 Elm St Ste 1
New Canaan, CT 06840-5400
Mailing address
11 Deer Run Rd
Wilton, CT 06897-1204
Phone (646) 319-1571
National Provider Directory
National Provider DirectoryLocations
140 Elm St
Ste 1
New Canaan, CT 06840
Phone (203) 240-2121
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Sandy Hook, CT
- NPI 1376077156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585612800000",
"number": "1477181790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 DEER RUN RD",
"city": "WILTON",
"state": "CT",
"postal_code": "068971204",
"telephone_number": "646-319-1571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 ELM ST STE 1",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068405400",
"telephone_number": "203-240-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AED PSYCHOTHERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-31",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A",
"authorized_official_last_name": "DICKERSON",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
"authorized_official_telephone_number": "203-402-2121",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Canaan, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.