Active NPI
Nicole Jacqueline Setzer, PH.D.
- Cognitive & Behavioral Psychologist
- Norwalk, CT
National Provider Identifier
1861515124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 002700
- Practice address
- 83 East Ave
Suite 217
Norwalk, CT 06851-4902 - Phone
- (203) 571-8142
- NPI assigned
- Apr 9, 2007
- 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 002700 | CT | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 013989-1 | NY |
Addresses
Primary practice location
83 East Ave
Suite 217
Norwalk, CT 06851-4902
Mailing address
19 Bonnie Brook Rd
Westport, CT 06880-1505
Phone (203) 227-6310
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 |
|---|---|---|---|
| 002700 | CT | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861515124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BONNIE BROOK RD",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068801505",
"telephone_number": "203-227-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 EAST AVE",
"address_2": "SUITE 217",
"city": "NORWALK",
"state": "CT",
"postal_code": "068514902",
"telephone_number": "203-571-8142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETZER",
"first_name": "NICOLE",
"middle_name": "JACQUELINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CT",
"license": "002700",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "013989-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.