Active NPI
Nikia D Stevens
- Psychologist
- Middletown, CT
National Provider Identifier
1821387887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1000 Silver Street
Middletown, CT 06457 - Phone
- (860) 262-6519
- NPI assigned
- Mar 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1000 Silver Street
Middletown, CT 06457
Mailing address
20 Mohawk Cir
Windsor, CT 06095-2656
Phone (678) 622-2013
Other practice location 1
417 Liberty St
Springfield, MA 01104-3736
Phone (413) 736-3668
Other names 1
- Nikia D Freeman
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | coresolutions.biz | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1821387887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MOHAWK CIR",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952656",
"telephone_number": "678-622-2013",
"fax_number": "678-622-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SILVER STREET",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "06457",
"telephone_number": "860-262-6519"
}
],
"practiceLocations": [
{
"address_1": "417 Liberty St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011043736",
"country_code": "US",
"telephone_number": "413-736-3668",
"fax_number": "413-731-8651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "NIKIA",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2022-08-25",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "coresolutions.biz",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "20 Mohawk Cir",
"city": "Windsor",
"state": "CT",
"country_code": "US",
"postal_code": "060952656",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NIKIA",
"last_name": "FREEMAN",
"middle_name": "D",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.