SUSAN ELIZABETH D'AMBROSIO PSY.D.
NPI 1225074420
Psychologist - Clinical in Hartford, CT

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
79 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106(860) 972-0200 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan Elizabeth D'ambrosio Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN ELIZABETH D'AMBROSIO PSY.D. (NPI 1225074420) is an individual clinical provider in Hartford, Connecticut, licensed in Connecticut (002626) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1225074420
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSUSAN ELIZABETH D'AMBROSIOCredential: PSY.D.
Location Address79 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPTHartford, CT 06106-2527
Mailing Address79 Retreat Avenue, Hartford Hospital Psychiatry DeptHartford, CT 06106-2527 · (860) 972-0200
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 22, 2006
Last NPPES UpdateNovember 1, 2016
NPI 1225074420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CT · 002626
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

79 RETREAT AVENUE, Hartford, CT 06106

Other Identifiers 1

Medicaid008026262CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan Elizabeth D'ambrosio Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810928033
PECOS Enrollment IDI20050829000042
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
79 RETREAT AVENUE, HARTFORD HOSPITAL ADULT PRIMARY CARE-BROWN STONE
HARTFORD, CT 06106
Internal Medicine
79 RETREAT AVENUE, HARTFORD HOSPITAL, ADULT PRIMARY CARE- BROWN STONE
HARTFORD, CT 06106
Urology
79 RETREAT AVENUE, HARTFORD HOSPITAL UROLOGY SERVICES
HARTFORD, CT 06106
Durable Medical Equipment & Medical Supplies (Customized Equipment)
79 RETREAT AVENUE, HARTFORD HOSPITAL DEPT OF DENTISTRY
HARTFORD, CT 06106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan D'ambrosio's NPI number?

The NPI number for Susan D'ambrosio is 1225074420. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Susan D'ambrosio located?

Susan D'ambrosio practices at 79 Retreat Avenue Hartford Hospital Psychiatry Dept, Hartford, CT 06106. The listed phone number is (860) 972-0200.

What is Susan D'ambrosio's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Susan D'ambrosio enrolled in Medicare?

Yes. Susan D'ambrosio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Susan D'ambrosio was last updated on November 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.