Active NPI
Rachel Litwin, PSY.D.
- Psychologist
- Madison, CT
National Provider Identifier
1922428945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 17 Woodland Rd
Shoreline Psychological, LLC
Madison, CT 06443-2342 - Phone
- (203) 974-3366
- NPI assigned
- Apr 17, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
17 Woodland Rd
Shoreline Psychological, LLC
Madison, CT 06443-2342
Mailing address
26 Fairfield Rd
Madison, CT 06443-2541
Phone (203) 974-3366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 11, 2024 through Jan 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3620 | CT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1922428945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 FAIRFIELD RD",
"city": "MADISON",
"state": "CT",
"postal_code": "064432541",
"telephone_number": "203-974-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WOODLAND RD",
"address_2": "SHORELINE PSYCHOLOGICAL, LLC",
"city": "MADISON",
"state": "CT",
"postal_code": "064432342",
"telephone_number": "203-974-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITWIN",
"first_name": "RACHEL",
"name_prefix": "Ms.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-17",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.