Active NPI
Anya Woronzoff Verriden, PH.D.
- Psychologist
- Enfield, CT
National Provider Identifier
1871072371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3955
- Practice address
- 174 South Rd Ste 110
Enfield, CT 06082-4414 - Phone
- (000) 000-0000
- NPI assigned
- Aug 7, 2018
- 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 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1577 | NH | |
| Psychologist | 103T00000X | 48.0134278 | VT | |
| Psychologist | 103T00000X | PSO1998 | RI | |
| Psychologist | 103T00000X | B1-0011319 | DE | |
| Psychologist | 103T00000X | 3616 | WI | |
| Psychologist | 103T00000X | 8100007541 | VA | |
| Psychologist | 103T00000X | 626 | ND | |
| Psychologist | 103T00000X | PSY.0005567 | CO | |
| Psychologist | 103T00000X | PY61196447 | WA | |
| Psychologist | 103T00000X | PY1057 | NV | |
| Psychologist | 103T00000X | PSY1959 | HI | |
| Psychologist | 103T00000X | 11152 | MA | |
| Psychologist | 103T00000X | 3955 | CT | Primary |
Addresses
Primary practice location
174 South Rd Ste 110
Enfield, CT 06082-4414
Mailing address
174 South Rd Ste 110
Enfield, CT 06082-4414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | N/A |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0005567 | CO | MD | Psychologist |
| 3955 | CT | MD | Psychologist |
| B1-0011319 | DE | MD | Psychologist |
| PSY1959 | HI | MD | Psychologist |
| 11152 | MA | MD | Psychologist |
| 626 | ND | MD | Psychologist |
| PY1057 | NV | MD | Psychologist |
| PSO1998 | RI | MD | Psychologist |
| 8100007541 | VA | MD | Psychologist |
| 48.0134278 | VT | MD | Psychologist |
| PY61196447 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1871072371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 SOUTH RD STE 110",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 SOUTH RD STE 110",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824414",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERRIDEN",
"first_name": "ANYA",
"middle_name": "WORONZOFF",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NH",
"license": "1577",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "48.0134278",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "RI",
"license": "PSO1998",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DE",
"license": "B1-0011319",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "3616",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "8100007541",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ND",
"license": "626",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "PSY.0005567",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY61196447",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NV",
"license": "PY1057",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "PSY1959",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "11152",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "3955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.