NPIMap

Organization Active NPI

Amy a Payson Edd CS Aprn BC LLC

  • Professional Counselor
  • Fairfield, CT
National Provider Identifier
1821273525
Registry record updated Jan 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
000869 Issued in CT
Legal business name
AMY A PAYSON EDD CS APRN BC LLC
Practice address
23 Sherman St
Fairfield, CT 06824-5821
Phone
(203) 255-0600
Fax
(203) 375-5619
NPI assigned
Jan 1, 2008
Last updated
Jan 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2008

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

Authorized official

Name
Dr. Amy A Payson, EDD CS APRN BCNPI 1205982030
Title
Psychiatric Nurse Practitioner
Phone
(203) 255-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 000869 CT Primary

Addresses

Primary practice location

23 Sherman St
Fairfield, CT 06824-5821

Mailing address

16 Old Dairy Rd
Trumbull, CT 06611-4954
Phone (203) 255-0600

Other identifiers 3

IdentifierTypeStateIssuer
400000869CT01OtherCTANTHEM BLUE CROSS BLUE SH
122025OtherCTVALUE OPTIONS
173546OtherCTMENTAL HEALTH NETWORK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199145600000",
    "number": "1821273525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OLD DAIRY RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114954",
            "telephone_number": "203-255-0600",
            "fax_number": "203-375-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SHERMAN ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245821",
            "telephone_number": "203-255-0600",
            "fax_number": "203-375-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY A PAYSON EDD CS APRN BC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-01",
        "last_updated": "2008-01-01",
        "status": "A",
        "authorized_official_last_name": "PAYSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "203-255-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD CS APRN BC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "400000869CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "122025",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH NETWORK",
            "identifier": "173546",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2008; 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.