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DEBORA A. KUSTRON, PSY.D., LLC
NPI 1407134554
Psychologist - Clinical in Windsor, CT

Active since July 22, 2011
61 BLOOMFIELD AVE, 2ND FLOOR, WINDSOR, CT 06095(860) 683-2352 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Debora A. Kustron, Psy.d., Llc NPPES

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

DEBORA A. KUSTRON, PSY.D., LLC (NPI 1407134554) is a healthcare organization registered as a clinical in Windsor, Connecticut and active in the NPI registry since July 2011. The organization lists Debora A Kustron, Manager, as its authorized official.

NPPES Registry Identity

NPI1407134554
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDEBORA A. KUSTRON, PSY.D., LLC
Location Address61 BLOOMFIELD AVE, 2ND FLOORWindsor, CT 06095-2809
Mailing Address61 Bloomfield Ave, 2nd FloorWindsor, CT 06095-2809 · (860) 683-2352
Phone(860) 683-2352
Organization SubpartNo
Authorized OfficialDebora A KustronManager · (860) 683-2352
Enumeration DateJuly 22, 2011
✔ NPI 1407134554 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 · 002140
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.
61 BLOOMFIELD AVE, Windsor, CT 06095
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Other Identifiers 2

Medicare PIND400030608CT
Medicaid1316087950CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Debora A. Kustron, Psy.d., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20110824000935Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Debora A. Kustron, Psy.D., LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Debora Kustron, PSY.D.
Clinical Psychologist
NPI 1316087950
61 BLOOMFIELD AVE 2ND FLOOR
Windsor, CT 06095
(860) 683-2352
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Debora A. Kustron, Psy.D., LLC's NPI number?

The NPI number for Debora A. Kustron, Psy.D., LLC is 1407134554. It was assigned to this organization in the NPPES registry on July 22, 2011.

Where is Debora A. Kustron, Psy.D., LLC located?

Debora A. Kustron, Psy.D., LLC is located at 61 Bloomfield Ave 2nd Floor, Windsor, CT 06095. The listed phone number is (860) 683-2352.

What is Debora A. Kustron, Psy.D., LLC's specialty?

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

Is Debora A. Kustron, Psy.D., LLC enrolled in Medicare?

Yes. Debora A. Kustron, Psy.D., LLC is registered in the Medicare PECOS enrollment system.

When is Debora A. Kustron, Psy.D., LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Debora A. Kustron, Psy.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Debora A. Kustron, Psy.D., LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Debora A. Kustron, Psy.D., LLC was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.