Healthwise Counseling, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003434 Issued in CT

Legal business name

HEALTHWISE COUNSELING, LLC

Practice address

50 Albany Tpke
Suite 3010
Canton, CT 06019-2516

Phone

(860) 479-2563

NPI assigned

Apr 16, 2015

Last updated

Apr 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Schumann, PH.D.NPI 1447662176

Title

Member

Phone

(860) 479-2563

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristina Schumann, PH.D.

  • Clinical Psychologist
  • Canton, CT
  • NPI 1447662176
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1972990059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALBANY TPKE",
            "address_2": "SUITE 3010",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALBANY TPKE",
            "address_2": "SUITE 3010",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192516",
            "telephone_number": "860-479-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "SCHUMANN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-479-2563",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008056666",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Canton, CT
• Providers in Canton, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.