Amanda Kedzior

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

27-002084 Issued in CT

Practice address

1844 Whitney Ave Ste 2
Hamden, CT 06517-1400

Phone

(203) 407-1310

Fax

(203) 407-1309

NPI assigned

May 7, 2019

Last updated

May 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater New Haven Counseling and Family Therapy Center, LLP

  • Clinical Psychologist
  • Hamden, CT
  • NPI 1780120063

  Marriage & Family Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1558926386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CASSELLA DR",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921614",
            "telephone_number": "203-980-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 WHITNEY AVE STE 2",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065171400",
            "telephone_number": "203-407-1310",
            "fax_number": "203-407-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDZIOR",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "27-002084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexei Kasanzew, M.ED. IN MHC
• Martin E. Katz, MD
• Jennifer Kazdan, LCSW
• Erin Mullaney Keane, RN, PPCNP-BC
• Lynsey McGrath Keator
• Gresi Kello, PA-C
• Susan Kelly, LADC, CAC
• Stephanie Kelsey-Reynolds, OTR L
• Kathryn Blaney Kennedy, LPC
• Karin E Kerfoot, MD

• Marriage & Family Therapist in Hamden, CT
• Providers in Hamden, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.