Karole J. Kreutter, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001073 Issued in CT

Practice address

1062 Barnes Rd
Suite 204
Wallingford, CT 06492-6012

Phone

(203) 294-0094

NPI assigned

Jul 28, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730193236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 BARNES RD",
            "address_2": "SUITE 204",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064926012",
            "telephone_number": "203-294-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 BARNES RD",
            "address_2": "SUITE 204",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064926012",
            "telephone_number": "203-294-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUTTER",
        "first_name": "KAROLE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Robin Kopman-Fried, LCSW
• Alice Kosowsky, MA MS
• Demetrios Nicolas Kostas, LCSW
• Rhoda Lynne Kreisman, PHD
• Karen M Kremzar, OT/L
• Mackenzie Marie Krom, PTA
• David Arnold Krulee, M.D.
• Meir Kryger, M.D.
• Richard K Kull, M.D.
• Priscilla Kuo, OD

• Clinical Psychologist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.