Dr. Shante Antoinette Bassett, PsyD
Psychologist, Clinical in Shelton, CT. Individual provider (NPI-1).
NPI number1053183293
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1053183293
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shante Antoinette Bassett
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2023
- Certification date
- Oct 22, 2023
- Last updated
- Oct 23, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 4640 | CT | Yes |
| 103TC0700X | Psychologist, Clinical | 026025 | NY |
Practice location
3 Armstrong Rd # 1102Shelton, CT 06484-4706
Phone 516-500-3119
Mailing address
22 Happy Hollow Cir Unit BStratford, CT 06614-8411
Phone 917-975-1822
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