Active NPI
Christina Vasiliki Kiss, PSYD
- Clinical Psychologist
- Farmington, CT
National Provider Identifier
1841667177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3906
- Practice address
- 231 Farmington Ave
Farmington, CT 06032-1940 - Phone
- (203) 272-6007
- NPI assigned
- Aug 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 023555 | NY | |
| Clinical Psychologist | 103TC0700X | 3906 | CT | Primary |
Addresses
Primary practice location
231 Farmington Ave
Farmington, CT 06032-1940
Mailing address
231 Farmington Ave
Farmington, CT 06032-1940
Phone (203) 272-6007
Other practice location 1
15 Mountain Estates Dr
Avon, CT 06001-2105
Phone (516) 297-7331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3906 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Telepsych PLLC | Current | Accepting new patients | |
| Northeast Neuropsychology, LLC | Current | Accepting new patients |
Locations
609 W Johnson Ave
Ste 104
Cheshire, CT 06410
Phone (203) 272-6007
Organizations & group practices 2
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.
-
- Clinical Neuropsychologist
- Cheshire, CT
- NPI 1396991956
-
- Psychiatry Physician
- Middletown, CT
- NPI 1508456377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1841667177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321940",
"telephone_number": "203-272-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321940",
"telephone_number": "203-272-6007"
}
],
"practiceLocations": [
{
"address_1": "15 Mountain Estates Dr",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "CT",
"postal_code": "060012105",
"country_code": "US",
"telephone_number": "516-297-7331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KISS",
"first_name": "CHRISTINA",
"middle_name": "VASILIKI",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-21",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023555",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "3906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.