Kelly Copeland Psyd LLC
Psychologist, Clinical in Stamford, CT. Organization (NPI-2).
NPI number1336788488
StatusActive
Last updated in NPPESJan 6, 2020
Details
- NPI
- 1336788488
- Entity type
- Organization (NPI-2)
- Legal business name
- Kelly Copeland Psyd LLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2020
- Certification date
- Jan 6, 2020
- Last updated
- Jan 6, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 | – | – | Yes |
Practice location
1200 High Ridge Rd Ste 208Stamford, CT 06905-1202
Phone 203-539-1033
Mailing address
36 Ridge Brook LnStamford, CT 06903-1239
Phone 585-245-3900
Authorized official
Kelly Copeland
Psychologist
5852453900
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