Active NPI
Sunrise Psychological Services LLC
- Psychologist
- Prospect, CT
National Provider Identifier
1699199869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- SUNRISE PSYCHOLOGICAL SERVICES LLC
- Practice address
- 25 Royal Crest Dr
Prospect, CT 06712-1486 - Phone
- (845) 826-0060
- NPI assigned
- Feb 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joel Meisels
- Title
- President
- Phone
- (845) 826-0060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
25 Royal Crest Dr
Prospect, CT 06712-1486
Mailing address
PO Box 1250
Monsey, NY 10952-8349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140512000200 | CT | Part B Supplier - Clinic/Group Practice | 7911130216 |
Receives reassigned benefits from 80 practitioners Practice locations: Norwalk, CT; Orange, CT; Plainville, CT; Southport, CT; Stamford, CT; Torrington, CT; Trumbull, CT; Waterbury, CT… |
National Provider Directory
National Provider DirectoryLocations
122 E Main St
Plainville, CT 06062
Phone (860) 747-4759
3584 E Main St
Waterbury, CT 06705
Phone (203) 754-4181
Practitioners & affiliated clinicians
Practitioners 85
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Glastonbury, CT
- NPI 1477010288
CT
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391904000000",
"number": "1699199869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1250",
"city": "MONSEY",
"state": "NY",
"postal_code": "109528349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 ROYAL CREST DR",
"city": "PROSPECT",
"state": "CT",
"postal_code": "067121486",
"telephone_number": "845-826-0060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE PSYCHOLOGICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-09",
"last_updated": "2014-02-09",
"status": "A",
"authorized_official_last_name": "MEISELS",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-826-0060"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prospect, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; 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.