Active NPI
Hedy Augenbraun, PH.D.
- Clinical Psychologist
- Huntington, CT
National Provider Identifier
1629008958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001139
- Practice address
- 110 Soundview Avenue
Huntington, CT 06484 - Phone
- (203) 374-1055
- Fax
- (203) 396-0182
- NPI assigned
- Jul 3, 2006
- Last updated
- Sep 4, 2013
- 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 | 001139 | CT | Primary |
| Clinical Psychologist | 103TC0700X | 014502-1 | NY |
Addresses
Primary practice location
110 Soundview Avenue
Huntington, CT 06484
Mailing address
193 Fairfield Woods Rd
Fairfield, CT 06825-3323
Phone (203) 374-1055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004061176 | Medicaid | CT |
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 |
|---|---|---|---|
| 1139 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 014502-1 | NY | MD | Clinical Psychologist |
| 001139 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1629008958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 FAIRFIELD WOODS RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068253323",
"telephone_number": "203-374-1055",
"fax_number": "203-396-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SOUNDVIEW AVENUE",
"city": "HUNTINGTON",
"state": "CT",
"postal_code": "06484",
"telephone_number": "203-374-1055",
"fax_number": "203-396-0182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGENBRAUN",
"first_name": "HEDY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "001139",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014502-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004061176",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.