Active NPI
Nancy A Eiswirth, PH.D.
- Clinical Psychologist
- Hartford, CT
National Provider Identifier
1518981356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1149
- Practice address
- 664 Prospect Avenue
Hartford, CT 06105 - Phone
- (860) 236-8087
- Fax
- (860) 586-7422
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1149 | CT | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1149 | CT |
Addresses
Primary practice location
664 Prospect Avenue
Hartford, CT 06105
Mailing address
664 Prospect Avenue
Hartford, CT 06105
Phone (860) 236-8087
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060001149CT05 | Other | CT | ANTHEM BLUE CROSS BLUE SH |
| P383627 | Other | CT | OXFORD INSURANCE CO |
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 |
|---|---|---|---|---|
| I20120216000251 | CT | Practitioner - Clinical Psychologist | 8729246061 | Practice locations: Avon, CT; Hartford, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
664 Prospect Ave
FL 1
Hartford, CT 06105-4203
Phone (860) 236-8087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1518981356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 PROSPECT AVENUE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06105",
"telephone_number": "860-236-8087",
"fax_number": "860-586-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 PROSPECT AVENUE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06105",
"telephone_number": "860-236-8087",
"fax_number": "860-586-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISWIRTH",
"first_name": "NANCY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "1149",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CT",
"license": "1149",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "060001149CT05",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD INSURANCE CO",
"identifier": "P383627",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.