Active NPI
Robert Alan Horwitz, PH.D.
- Psychologist
- New Haven, CT
National Provider Identifier
1508914615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 000662
- Practice address
- 258 Bradley Street
Lower Level a
New Haven, CT 06510-1182 - Phone
- (208) 789-1086
- Fax
- (203) 789-1086
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 000662 | CT | Primary |
Addresses
Primary practice location
258 Bradley Street
Lower Level a
New Haven, CT 06510-1182
Mailing address
258 Bradley Street
Lower Level a
New Haven, CT 06510-1182
Phone (203) 789-1086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004008561 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111123000487 | CT | Practitioner - Clinical Psychologist | 4981878204 | Practice locations: New Haven, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Yale University School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
258 Bradley St
Lower Level a
New Haven, CT 06510-1182
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000662 | CT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1508914615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 BRADLEY STREET",
"address_2": "LOWER LEVEL A",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065101182",
"telephone_number": "203-789-1086",
"fax_number": "203-789-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 BRADLEY STREET",
"address_2": "LOWER LEVEL A",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065101182",
"telephone_number": "208-789-1086",
"fax_number": "203-789-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORWITZ",
"first_name": "ROBERT",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "000662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004008561",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.