Organization Active NPI

Aed Psychotherapy, LLC

  • Counseling Psychologist
  • New Canaan, CT
National Provider Identifier
1477181790
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Amy Dickerson, LPCNPI 1376077156
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.