Active NPI
Deborah Bovilsky, PHD
- Clinical Psychologist
- New Haven, CT
National Provider Identifier
1538267448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 515
- Practice address
- 291 Whitney Ave
Suite 201
New Haven, CT 06511-3724 - Phone
- (203) 777-8490
- Fax
- (203) 624-2036
- NPI assigned
- Sep 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 515 | CT | Primary |
Addresses
Primary practice location
291 Whitney Ave
Suite 201
New Haven, CT 06511-3724
Mailing address
291 Whitney Ave
Suite 201
New Haven, CT 06511-3724
Phone (203) 777-8490
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 515 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319241600000",
"number": "1538267448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 WHITNEY AVE",
"address_2": "SUITE 201",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113724",
"telephone_number": "203-777-8490",
"fax_number": "206-624-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 WHITNEY AVE",
"address_2": "SUITE 201",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113724",
"telephone_number": "203-777-8490",
"fax_number": "203-624-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOVILSKY",
"first_name": "DEBORAH",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2011-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "515",
"primary": true
}
],
"identifiers": [],
"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 Oct 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.