Active NPI
Josephine P Beebe, PHD
- Family Psychologist
- Waterford, CT
National Provider Identifier
1538389325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- CT585
- Practice address
- 567 Vauxhall St Ext
Suite 219
Waterford, CT 06385-4330 - Phone
- (860) 447-3520
- NPI assigned
- Apr 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | CT585 | CT | Primary |
Addresses
Primary practice location
567 Vauxhall St Ext
Suite 219
Waterford, CT 06385-4330
Mailing address
9 Dodge Court
Niantic, CT 06357-2401
Phone (860) 739-7887
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 |
|---|---|---|---|
| 585 | CT | MD | Mental Health Counselor |
| CT585 | CT | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538389325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DODGE COURT",
"city": "NIANTIC",
"state": "CT",
"postal_code": "063572401",
"telephone_number": "860-739-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 VAUXHALL ST EXT",
"address_2": "SUITE 219",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063854330",
"telephone_number": "860-447-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEEBE",
"first_name": "JOSEPHINE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CT",
"license": "CT585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.