| Kelly A. Schmidt, Ph.d., Llc | |
|
16 Main St. Ellington CT 06029-0061 | |
| (860) 871-5402 | |
| (860) 871-5413 |
| Full Name | Kelly A. Schmidt, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 16 Main St., Ellington, Connecticut |
| Authorized Official Name and Position | Kelly A. Schmidt (OWNER) |
| Authorized Official Contact | 8608715402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly A. Schmidt, Ph.d., Llc 16 Main St. Ellington CT 06029-0061 Ph: (860) 871-5402 | Kelly A. Schmidt, Ph.d., Llc 16 Main St. Ellington CT 06029-0061 Ph: (860) 871-5402 |
| NPI Number | 1104653344 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Medicare PECOS PAC ID | 4789105370 |
|---|---|
| Medicare Enrollment ID | O20250312000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104653344 | NPI | - | NPPES |
| 008093888 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelly A Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073828117 PECOS PAC ID: 2365637014 Enrollment ID: I20101108001444 |
Peniel Homecare Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Burbank Rd, Ellington, CT 06029 Phone: 860-894-0975 | |
I C Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Wapping Wood Rd, Ellington, CT 06029 Phone: 860-682-5301 | |
Fundacion Sos Mujer Extraordinaria Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Katherine Way, Ellington, CT 06029 Phone: 860-604-0319 | |
Kaitlin Myska Lmft Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Stafford Rd Ste B-1, Ellington, CT 06029 Phone: 860-375-4060 | |
Sallyz Applied Behavior Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Deerfield Rd, Ellington, CT 06029 Phone: 860-549-4807 | |
My Story Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Main St, Ellington, CT 06029 Phone: 860-871-5402 Fax: 860-871-5413 |