Individual provider Active NPI

Adrienne G Smaller, PH.D.

  • Clinical Psychologist
  • Madison, CT
National Provider Identifier
1740339506
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002272 Issued in CT
Practice address
588 Boston Post Rd
Suite East
Madison, CT 06443-3121
Phone
(203) 245-0638
Fax
(203) 245-9446
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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 002272 CT Primary

Addresses

Primary practice location

588 Boston Post Rd
Suite East
Madison, CT 06443-3121

Mailing address

588 Boston Post Rd
Suite East
Madison, CT 06443-2050
Phone (203) 245-0062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
002272CTMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1740339506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 BOSTON POST RD",
            "address_2": "SUITE EAST",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432050",
            "telephone_number": "203-245-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 BOSTON POST RD",
            "address_2": "SUITE EAST",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433121",
            "telephone_number": "203-245-0638",
            "fax_number": "203-245-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLER",
        "first_name": "ADRIENNE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.