Active NPI
Jefferson Alan Singer, PH.D,
- Clinical Psychologist
- West Hartford, CT
National Provider Identifier
1851451124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1511
- Practice address
- 71 Walden St
West Hartford, CT 06107-1739 - Phone
- (860) 573-9927
- NPI assigned
- Dec 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1511 | CT | Primary |
Addresses
Primary practice location
71 Walden St
West Hartford, CT 06107-1739
Mailing address
71 Walden St
West Hartford, CT 06107-1739
Phone (860) 573-9927
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1511 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1851451124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 WALDEN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071739",
"telephone_number": "860-573-9927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 WALDEN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071739",
"telephone_number": "860-573-9927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGER",
"first_name": "JEFFERSON",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PH.D,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-09",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "1511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.