Active NPI
Katherine D Tsatsanis, PH.D.
- Clinical Child & Adolescent Psychologist
- New Haven, CT
National Provider Identifier
1700179702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 002363
- Practice address
- 230 S Frontage Rd
New Haven, CT 06519-1124 - Phone
- (203) 785-6115
- Fax
- (203) 737-4197
- NPI assigned
- May 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 002363 | CT | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 002363 | CT | Primary |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 002363 | CT |
Addresses
Primary practice location
230 S Frontage Rd
New Haven, CT 06519-1124
Mailing address
230 S Frontage Rd
New Haven, CT 06519-1124
Phone (203) 785-6115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002363 | CT | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1700179702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 S FRONTAGE RD",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191124",
"telephone_number": "203-785-6115",
"fax_number": "203-737-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 S FRONTAGE RD",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191124",
"telephone_number": "203-785-6115",
"fax_number": "203-737-4197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSATSANIS",
"first_name": "KATHERINE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CT",
"license": "002363",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CT",
"license": "002363",
"primary": true
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "CT",
"license": "002363",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.