Active NPI
Melissa D Persaud, PSY.D
- Counseling Psychologist
- West Hartford, CT
National Provider Identifier
1861893612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 002774
- Practice address
- 2446 Albany Ave
Suite 301
West Hartford, CT 06117-2598 - Phone
- (914) 954-8456
- Fax
- (860) 432-4679
- NPI assigned
- Sep 11, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 002774 | CT | Primary |
Addresses
Primary practice location
2446 Albany Ave
Suite 301
West Hartford, CT 06117-2598
Mailing address
80 Steeplechase Dr
Newington, CT 06111-5703
Phone (914) 954-8456
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002774 | CT | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1861893612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 STEEPLECHASE DR",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061115703",
"telephone_number": "914-954-8456",
"fax_number": "860-432-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2446 ALBANY AVE",
"address_2": "SUITE 301",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172598",
"telephone_number": "914-954-8456",
"fax_number": "860-432-4679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSAUD",
"first_name": "MELISSA",
"middle_name": "D",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CT",
"license": "002774",
"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 Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.