Individual provider Active NPI

Allison Verhaak, PHD

  • Clinical Psychologist
  • West Hartford, CT
National Provider Identifier
1790310787
Registry record updated Oct 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3909 Issued in CT
Practice address
327 Ridgewood Rd
West Hartford, CT 06107-3537
Phone
(207) 577-0826
NPI assigned
Mar 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 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 3909 CT Primary

Addresses

Primary practice location

327 Ridgewood Rd
West Hartford, CT 06107-3537

Mailing address

327 Ridgewood Rd
West Hartford, CT 06107-3537
Phone (207) 577-0826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 19, 2024 through Jan 19, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Verhaak Integrative Psychology PLLC Clinical CurrentSince Dec 31, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: allison.verhaak@xdr.hhchealthdirect.org

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698451200000",
    "number": "1790310787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 RIDGEWOOD RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073537",
            "telephone_number": "207-577-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 RIDGEWOOD RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073537",
            "telephone_number": "207-577-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHAAK",
        "first_name": "ALLISON",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2023-10-28",
        "certification_date": "2023-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.