Kathleen Schwam, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002271 Issued in CT

Practice address

358 Montauk Ave
New London, CT 06320-4706

Phone

(860) 443-1396

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 23, 2019 through Sep 23, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932326287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STARR ST",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551841",
            "telephone_number": "860-443-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204706",
            "telephone_number": "860-443-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAM",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Vivian Schipani, LPC, ATR-BC
• Michael Dean Schlesselman, PHARM.D.
• Christine C. Schneider, ATC
• Kathryn M Schneider, FNP
• Diane Schrage, L.C.S.W.
• Sarah W Schwanfelder Shae, MSW
• Dana Schwartz, INTERN
• Misty Scoggins, CRNA
• Sect Mental Health LLC
• Carly Seddon, OTR/L

• Clinical Psychologist in New London, CT
• Providers in New London, CT by specialty
• Clinical Psychologist in Connecticut

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.