Thomas Daniel Patenaude, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002732 Issued in CT

Practice address

32 Maple Ave
Windsor, CT 06095-2922

Phone

(860) 246-7999

Fax

(860) 688-0004

NPI assigned

Oct 12, 2006

Sex

Male

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

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

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Thomas D. Patenaude, Psy.D., L.L.C.

  • Psychologist
  • Windsor, CT
  • NPI 1275873770
  NPD (past) Authorized official
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  NPD (past)
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  NPD (past)
• MB Clinical Psychology & Consulting, LLC

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  • NPI 1700499209
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992894315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MAPLE AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952922",
            "telephone_number": "860-246-7999",
            "fax_number": "860-688-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MAPLE AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952922",
            "telephone_number": "860-246-7999",
            "fax_number": "860-688-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATENAUDE",
        "first_name": "THOMAS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Joy Parent, LCSW
• Anthony Pasquariello
• Ishani Ravi Patel
• Meera Patel
• Shruti Mayank Patel
• Pathway Psychiatric Services
• Pathways to Perseverance LLC
• Kay Grace Patterson
• Willie T. Patterson, LADC
• Consuela Patton

• Clinical Psychologist in Windsor, CT
• Providers in Windsor, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.