Active NPI
Rhondie Tait, PH.D.
- Clinical Psychologist
- New London, CT
National Provider Identifier
1497088975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY.0004364
- Practice address
- 15 Mohegan Ave
New London, CT 06320-8100 - Phone
- (860) 444-8402
- NPI assigned
- Sep 15, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Psychologist | 103TC0700X | PSY.0004364 | CO | Primary |
Addresses
Primary practice location
15 Mohegan Ave
New London, CT 06320-8100
Mailing address
15 Mohegan Ave
New London, CT 06320-8100
Other practice location 1
PSC 475
Box 1600
Fpo, AP 96350-1600
Phone (046) 816-5171
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0004364 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1497088975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MOHEGAN AVE",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063208100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MOHEGAN AVE",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063208100",
"telephone_number": "860-444-8402"
}
],
"practiceLocations": [
{
"address_1": "PSC 475",
"address_2": "Box 1600",
"address_purpose": "LOCATION",
"city": "FPO",
"state": "AP",
"postal_code": "963501600",
"country_code": "US",
"telephone_number": "046-816-5171",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "TAIT",
"first_name": "RHONDIE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0004364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.