DR. ANDREA ELIZABETH DEPETRIS (NPI# 1497352058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497352058 |
| Entity Type | Individual |
| Full Name | DR. ANDREA ELIZABETH DEPETRIS |
| Credential | PHD |
| Practice Address |
55 Lock St New Haven CT 06511-3603 |
| Practice Telephone | 2034320290 |
| Mailing Telephone | 2034320290 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 023851 | NY | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 3979 | CT | Behavioral Health & Social Service Providers |
| Street Address |
55 LOCK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346056 | Daniel I Geisser | Internal Medicine | 55 Lock St, Yale Health, New Haven, CT 06511-3603 | 2005-12-07 |
| 1558979211 | Jane Elizabeth Maria Carter | Student in an Organized Health Care Education/Training Program | 55 Lock St, New Haven, CT 06511-3603 | 2020-07-20 |
| 1396361770 | Kiara Stephanie Barbieri | Registered Nurse | 55 Lock St, New Haven, CT 06511-3603 | 2020-06-22 |
| 1447879119 | Emily Bail | Registered Nurse | 55 Lock St, New Haven, CT 06511-3603 | 2020-04-13 |
| 1306359773 | Chanel Andrea Ostasiewski | Registered Nurse | 55 Lock St, New Haven, CT 06511-3603 | 2017-11-08 |
| 1801309273 | Sonia Allard | Registered Nurse | 55 Lock St, New Haven, CT 06511-3603 | 2017-11-08 |
| 1447778907 | Patrick Roberts | Pharmacist | 55 Lock St, New Haven, CT 06511-3603 | 2017-09-05 |
| 1780106260 | Courtney M. Fratta | Registered Nurse | 55 Lock St, New Haven, CT 06511-3603 | 2017-07-17 |
| 1134649544 | Joseph Charles Serio | Pharmacist | 55 Lock St, New Haven, CT 06511-3603 | 2017-06-27 |
| 1154841484 | William Thomas Narducci | Pharmacist | 55 Lock St, New Haven, CT 06511-3603 | 2017-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267880 | Margaret Taylor Davis | Psychologist | 2 Church St S Ste 511, New Haven, CT 06519-1760 | 2020-02-21 |
| 1548829500 | Carla Marin | Psychologist | 47 Trumbull St Ste 204, New Haven, CT 06510-1004 | 2019-06-12 |
| 1699249987 | Marisela Lopez | Psychologist | 66 Trumbull St # 1ff, New Haven, CT 06510-1012 | 2019-01-19 |
| 1639683188 | Thomas G Adams Jr. | Psychologist | 34 Park St Ofc W309, New Haven, CT 06519-1109 | 2017-11-20 |
| 1205367489 | Sherry Mckee | Psychologist | 2 Church St S Ste 109, New Haven, CT 06519-1717 | 2017-03-21 |
| 1447670153 | Victoria Lynn Webb | Psychologist | 2 Hillhouse Ave, New Haven, CT 06511-6804 | 2014-04-21 |
| 1346590908 | Samuel Arthur Ball | Psychologist | 1 Long Wharf, The Apt Foundation, New Haven, CT 06511-5991 | 2012-09-11 |
| 1063710234 | Steven Michael Cohen | Psychologist | 245 Whalley Ave, New Haven, CT 06511-3254 | 2011-03-11 |
| 1215260575 | Christy L Olezeski | Psychologist | 1 Long Wharf Dr Fl 5, New Haven, CT 06511 | 2009-09-17 |
| 1295965010 | Kaity Jeanty | Psychologist | 446 Blake St Ste 200, New Haven, CT 06515-1286 | 2009-07-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.