Active NPI
Joseph Caverly, PSY.D.
- Psychologist
- Brookfield, CT
National Provider Identifier
1629409248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 9247
- Practice address
- 246 Federal Rd Ste C33
Brookfield, CT 06804-2648 - Phone
- (203) 885-0500
- NPI assigned
- Dec 7, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 9247 | MA | Primary |
Addresses
Primary practice location
246 Federal Rd Ste C33
Brookfield, CT 06804-2648
Mailing address
246 Federal Rd Ste C33
Brookfield, CT 06804-2648
Phone (203) 885-0500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9247 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386374400000",
"number": "1629409248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 FEDERAL RD STE C33",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042648",
"telephone_number": "203-885-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 FEDERAL RD STE C33",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042648",
"telephone_number": "203-885-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVERLY",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-07",
"last_updated": "2013-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "9247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.