Inge-Marie Eigsti, PH.D.
Individual provider Active NPI Clinical Child & Adolescent Psychologist · Mansfield Center, CT
NPI 1669675591 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1669675591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Child & Adolescent Psychologist 103TC2200X
- License
- 2675 (CT)
- Practice address
- 207 Storrs Rd
Mansfield Center, CT 06250-1638 - Phone
- (860) 456-4605
- Fax
- (860) 456-1738
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2675 | CT | MD | Clinical Child & Adolescent Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2675 | CT | Yes |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 2675 | CT |
Addresses
Primary practice location
207 Storrs Rd
Mansfield Center, CT 06250-1638
Mailing address
207 Storrs Rd
PO Box 174
Mansfield Center, CT 06250-1638
Phone (860) 456-4605
Other providers in Mansfield Center, CT
- Katherine Ann Dunn
- Cindy Dupointe
- Autumn Dwy
- Anna Ebora
- Naushad Ratan Edibam
- Claire Ellerbrock
- Craig Russell Elliott
- Sherri Anne Ericksen
- Demitria Estrada
- Heather Evans
All providers in Mansfield Center, CT · Clinical Child & Adolescent Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.