Individual provider Active NPI

Jennifer Murray, PSY.D.

  • Clinical Psychologist
  • Cheshire, CT
National Provider Identifier
1710036066
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002147 Issued in CT
Practice address
416 Highland Ave
Suite 6
Cheshire, CT 06410-2527
Phone
(203) 410-6636
Fax
(203) 250-0007
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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 002147 CT Primary

Addresses

Primary practice location

416 Highland Ave
Suite 6
Cheshire, CT 06410-2527

Mailing address

144 Elm St
Cheshire, CT 06410-2860
Phone (203) 410-6636

Other identifiers 3

IdentifierTypeStateIssuer
185764OtherCTMHN
114894OtherCTABH
163023OtherCTVALUEOPTIONS

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
I20080425000242 CT Practitioner - Clinical Psychologist 7012095409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

144 Elm St
Cheshire, CT 06410-2860
Phone (203) 410-6636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002147CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Murray, Psy.D., LLC Clinical CurrentSince Jan 1, 2008 Accepting new patients

Locations

144 Elm St
Cheshire, CT 06410
Phone (203) 410-6636

416 Highland Ave
Ste 6
Cheshire, CT 06410
Phone (203) 410-6636

Organizations & group practices 1

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1710036066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 ELM ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102860",
            "telephone_number": "203-410-6636",
            "fax_number": "203-250-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 HIGHLAND AVE",
            "address_2": "SUITE 6",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102527",
            "telephone_number": "203-410-6636",
            "fax_number": "203-250-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "185764",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABH",
            "identifier": "114894",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "163023",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.