Individual provider Active NPI

Sherri Lynn Owitz, PSY D

  • Clinical Psychologist
  • Glastonbury, CT
National Provider Identifier
1962418772
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001806 Issued in CT
Practice address
1420 Main Street
Ste 203
Glastonbury, CT 06033-3110
Phone
(860) 659-3244
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 001806 CT Primary

Addresses

Primary practice location

1420 Main Street
Ste 203
Glastonbury, CT 06033-3110

Mailing address

1420 Main Street
Ste 203
Glastonbury, CT 06033-3110
Phone (860) 659-3244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121120000006 CT Practitioner - Clinical Psychologist 5698938215 Practice locations: Glastonbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

78 Eastern Blvd
Suite 4
Glastonbury, CT 06033-4325
Phone (860) 659-3244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001806CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki Garvin, PH.D., LLC PastSince Nov 1, 2012 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962418772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 MAIN STREET",
            "address_2": "STE 203",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333110",
            "telephone_number": "860-659-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 MAIN STREET",
            "address_2": "STE 203",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333110",
            "telephone_number": "860-659-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWITZ",
        "first_name": "SHERRI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.