NPIMap

Organization Active NPI

Sunrise Psychological Services LLC

  • Psychologist
  • Prospect, CT
National Provider Identifier
1699199869
Registry record updated Feb 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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
Last updated
Feb 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2014

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Directory

Locations

46 Stony Hill Rd
Bethel, CT 06801
Phone (203) 207-4100

50 Pulaski St
New Britain, CT 06053
Phone (860) 229-0336

Practitioners & affiliated clinicians

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 85

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": "",
            "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.

Verify at the official NPI Registry.