Individual provider Active NPI

Migdalia Rivera Arzola, P.H.D

  • Psychologist
  • Wethersfield, CT
National Provider Identifier
1700945912
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
001975 Issued in CT
Practice address
415 Silas Deane Hwy Ste 402
Wethersfield, CT 06109-2119
Phone
(860) 721-0606
Fax
(860) 721-0202
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Psychologist 103T00000X 001975 CT Primary

Addresses

Primary practice location

415 Silas Deane Hwy Ste 402
Wethersfield, CT 06109-2119

Mailing address

415 Silas Deane Hwy Ste 402
Wethersfield, CT 06109-2119
Phone (860) 721-0606

Other practice location 1

509 Wethersfield Ave
Hartford, CT 06114-1907
Phone (860) 296-2121

Other identifiers 1

IdentifierTypeStateIssuer
004140159MedicaidCT

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
I20111108000092 CT Practitioner - Clinical Psychologist 6103717707 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Multicultural Psychological Services,LLC Past Accepting new patients
Center for Multicultural Psychological Services, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1700945912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SILAS DEANE HWY STE 402",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092119",
            "telephone_number": "860-721-0606",
            "fax_number": "860-721-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SILAS DEANE HWY STE 402",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092119",
            "telephone_number": "860-721-0606",
            "fax_number": "860-721-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Wethersfield Ave",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061141907",
            "country_code": "US",
            "telephone_number": "860-296-2121",
            "fax_number": "860-296-1197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA ARZOLA",
        "first_name": "MIGDALIA",
        "name_prefix": "Mrs.",
        "credential": "P.H.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "001975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004140159",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.