Individual provider Active NPI

Mark Ostrowski, PSY.D.

  • Clinical Psychologist
  • Stamford, CT
National Provider Identifier
1700022324
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002433 Issued in CT
Practice address
999 Summer St
Suite 200
Stamford, CT 06905-5546
Phone
(203) 967-4995
Fax
(203) 357-9030
NPI assigned
Jan 2, 2009
Last updated
May 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 002433 CT Primary

Addresses

Primary practice location

999 Summer St
Suite 200
Stamford, CT 06905-5546

Mailing address

999 Summer St
Suite 200
Stamford, CT 06905-5546
Phone (203) 967-4995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050215000428 CT Practitioner - Clinical Psychologist 4284686569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

652 Boston Post Rd
Suite 7
Guilford, CT 06437-2748
Phone (203) 967-4995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2433CTMDOptometrist
002433CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark J. Ostrowski, Psy.D. LLC Clinical CurrentSince Jul 30, 2016 Accepting new patients
Sound Community Services, Inc. PastSince Apr 25, 2010 Accepting new patients
Urologic Associates, PC Past Accepting new patients

Locations

652 Boston Post Rd
Ste 7
Guilford, CT 06437
Phone (203) 453-0015

999 Summer St
Ste 200
Stamford, CT 06905
Phone (203) 961-1152

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/soundcommunityservices/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1700022324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SUMMER ST",
            "address_2": "SUITE 200",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055546",
            "telephone_number": "203-967-4995",
            "fax_number": "203-357-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SUMMER ST",
            "address_2": "SUITE 200",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055546",
            "telephone_number": "203-967-4995",
            "fax_number": "203-357-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROWSKI",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-02",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.