Individual provider Active NPI

Karen J Scheel Holley, PSYD

  • Psychologist
  • East Hartford, CT
National Provider Identifier
1720246721
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
002297 Issued in CT
Practice address
96 Connecticut Blvd
Staltaro Psychological Services LLC
East Hartford, CT 06108-3013
Phone
(860) 502-4908
Fax
(860) 513-4828
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 002297 CT Primary

Addresses

Primary practice location

96 Connecticut Blvd
Staltaro Psychological Services LLC
East Hartford, CT 06108-3013

Mailing address

96 Connecticut Blvd
Staltaro Psychological Services LLC
East Hartford, CT 06108-3013
Phone (860) 502-4908

Other names 1

  • Karen J Scheel Former name

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
I20160629001077 CT Practitioner - Clinical Psychologist 7416248083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

45 S Main St
Suite 70
West Hartford, CT 06107-2426
Phone (860) 785-4232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002297CTMDOccupational Therapist
2297CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Scheel Holley PSYD LLC Psychologist CurrentSince Jun 1, 2021 Accepting new patients

Locations

45 S Main St
Ste 70
West Hartford, CT 06107
Phone (860) 288-7219

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1720246721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 CONNECTICUT BLVD",
            "address_2": "STALTARO PSYCHOLOGICAL SERVICES LLC",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083013",
            "telephone_number": "860-502-4908",
            "fax_number": "860-513-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CONNECTICUT BLVD",
            "address_2": "STALTARO PSYCHOLOGICAL SERVICES LLC",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083013",
            "telephone_number": "860-502-4908",
            "fax_number": "860-513-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEEL HOLLEY",
        "first_name": "KAREN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SCHEEL",
            "middle_name": "J",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.