Individual provider Active NPI

Ronald Craig Naso, PH.D.

  • Clinical Psychologist
  • Stamford, CT
National Provider Identifier
1750466074
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1021 Issued in CT
Practice address
2777 Summer St
Suite 504B
Stamford, CT 06905-4318
Phone
(203) 325-3661
Fax
(203) 325-0145
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1021 CT Primary

Addresses

Primary practice location

2777 Summer St
Suite 504B
Stamford, CT 06905-4318

Mailing address

2777 Summer St
Suite 504B
Stamford, CT 06905-4318
Phone (203) 325-3661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 12, 2023 through Apr 12, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1021CTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750466074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 SUMMER ST",
            "address_2": "SUITE 504B",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054318",
            "telephone_number": "203-325-3661",
            "fax_number": "203-325-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 SUMMER ST",
            "address_2": "SUITE 504B",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054318",
            "telephone_number": "203-325-3661",
            "fax_number": "203-325-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASO",
        "first_name": "RONALD",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.