Active NPI
Full Stack Psychology
- Psychologist
- West Hartford, CT
National Provider Identifier
1992527642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- FULL STACK PSYCHOLOGY
- Practice address
- 2550 Albany Avenue, #1122
West Hartford, CT 06117-2335 - Phone
- (860) 544-5734
- NPI assigned
- Oct 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arielle Hall, PSY.D.
- Title
- Owner, Neuropsychologist
- Phone
- (860) 544-5734
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2550 Albany Avenue, #1122
West Hartford, CT 06117-2335
Mailing address
2550 Albany Avenue, #1122
West Hartford, CT 06117-2335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732492800000",
"number": "1992527642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 ALBANY AVENUE, #1122",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 ALBANY AVENUE, #1122",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172335",
"telephone_number": "860-544-5734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL STACK PSYCHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-24",
"last_updated": "2024-11-25",
"certification_date": "2024-11-15",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "ARIELLE",
"authorized_official_title_or_position": "OWNER, NEUROPSYCHOLOGIST",
"authorized_official_telephone_number": "860-544-5734",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.