Individual provider Active NPI

Christine Cukar-Capizzi

  • Clinical Psychologist
  • New Haven, CT
National Provider Identifier
1619443181
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3908 Issued in CT
Practice address
350 George St
New Haven, CT 06511-6617
Phone
(203) 432-2667
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X CT
Behavior Analyst 103K00000X
Clinical Psychologist 103TC0700X 3908 CT Primary

Addresses

Primary practice location

350 George St
New Haven, CT 06511-6617

Mailing address

10 Saddle Rd
Norwalk, CT 06851-3222
Phone (203) 570-0357

Other practice location 1

10 Saddle Rd
Norwalk, CT 06851-3222
Phone (203) 570-0357

Other practice location 2

161 East Ave Ste 104
Norwalk, CT 06851-5710
Phone (203) 899-0745

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200629002733 CT Practitioner - Clinical Psychologist 2860814373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Mar 19, 2020 Accepting new patients
Yale University CurrentSince Mar 19, 2020 Accepting new patients
Linda J Talbert LLC Behavior Analyst PastSince Jul 1, 2022 Accepting new patients

Locations

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

350 George St
New Haven, CT 06511
Phone (203) 737-5870

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1619443181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SADDLE RD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068513222",
            "telephone_number": "203-570-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 GEORGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116617",
            "telephone_number": "203-432-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Saddle Rd",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068513222",
            "country_code": "US",
            "telephone_number": "203-570-0357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 East Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068515710",
            "country_code": "US",
            "telephone_number": "203-899-0745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUKAR-CAPIZZI",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.