John Edward Hicka, MSW LCSW

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

License

005068 Issued in CT

Practice address

2001 West Main St
Ste 106C
Stamford, CT 06902

Phone

(203) 323-1847

Fax

(203) 698-3443

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1932202017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WEST MAIN ST",
            "address_2": "STE 106C",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-323-1847",
            "fax_number": "203-698-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WEST MAIN ST",
            "address_2": "STE 106C",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-323-1847",
            "fax_number": "203-698-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKA",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "CT",
            "license": "005068",
            "primary": true
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "052839",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "005068",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "052839",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2469164",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Herrle
• Devorah Hertzberg, NP
• Julie Hetherington
• Erik George Heyliger, D.C.
• Christopher Heymann
• Thomas Ryan Hickernell, MD
• Jane Elizabeth Hickey, OTR
• Jenna Hickey, LCSW
• High Quality Home Therapy LLC
• High Ridge Family Practice, LLC

• Psychoanalysis Psychologist in Stamford, CT
• Providers in Stamford, CT by specialty
• Psychoanalysis Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.