Individual provider Active NPI

Christy Dabreo-Otero

  • Clinical Psychologist
  • Norwalk, CT
National Provider Identifier
1710692876
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
025267 Issued in NY
Practice address
101 Merritt 7
Norwalk, CT 06851-1059
Phone
(347) 470-4632
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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 025267 NY Primary

Addresses

Primary practice location

101 Merritt 7
Norwalk, CT 06851-1059

Mailing address

27 Amundsen St
Norwalk, CT 06855-2202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250919000695 NY Practitioner - Clinical Psychologist 3476057605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

27 Amundsen St
Norwalk, CT 06855-2202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025267NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy D Wicker Psy D PLLC CurrentSince Sep 11, 2025 Accepting new patients

Locations

26 Court St
Ste 409
Brooklyn, NY 11242
Phone (212) 405-2685

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1710692876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 AMUNDSEN ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068552202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MERRITT 7",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511059",
            "telephone_number": "347-470-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABREO-OTERO",
        "first_name": "CHRISTY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.