Organization Active NPI

Stonington Psychology LLC

  • Clinical Psychologist
  • Mystic, CT
National Provider Identifier
1659627453
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003158 Issued in CT
Legal business name
STONINGTON PSYCHOLOGY LLC
Practice address
14 Masons Island Rd Unit 4
Mystic, CT 06355-2958
Phone
(860) 245-9222
Fax
(860) 535-9891
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Dr. Linda W Suriyakham, PHDNPI 1720354491
Title
Owner
Phone
(860) 245-9222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 003158 CT Primary

Addresses

Primary practice location

14 Masons Island Rd Unit 4
Mystic, CT 06355-2958

Mailing address

14 Masons Island Rd Unit 4
Mystic, CT 06355-2958
Phone (860) 245-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140714000058 CT Part B Supplier - Clinic/Group Practice 6204051931 Receives reassigned benefits from 1 practitioner
Practice locations: Mystic, CT

National Provider Directory

National Provider Directory

Locations

14 Masons Island Rd
Unit 4
Mystic, CT 06355
Phone (860) 245-9222

14 Masons Island Rd
Unit 4C
Mystic, CT 06355
Phone (860) 245-9222

107 Wilcox Rd
Ste 107E
Stonington, CT 06378
Phone (860) 295-4371

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1659627453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MASONS ISLAND RD UNIT 4",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552958",
            "telephone_number": "860-245-9222",
            "fax_number": "860-535-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MASONS ISLAND RD UNIT 4",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552958",
            "telephone_number": "860-245-9222",
            "fax_number": "860-535-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONINGTON PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "SURIYAKHAM",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-245-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.