DR. ELIZABETH A MONGILLO-HERMAN PH.D.
NPI 1700017829
Psychologist - Clinical in West Hartford, CT

Q: What is Elizabeth Mongillo-herman's NPI number?

The NPI number for Elizabeth Mongillo-herman is 1700017829. It was assigned to this individual provider in the NPPES registry on August 6, 2009. The provider is also known as Dr. Elizabeth A Mongillo.

Q: What is Elizabeth Mongillo-herman's specialty?

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

Active since August 06, 2009PECOS EnrolledAccepts Medicare Assignment

784 FARMINGTON AVE, WEST HARTFORD, CT 06119(860) 523-4450(860) 523-9537 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Elizabeth A Mongillo-herman Ph.d. NPPES

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

DR. ELIZABETH A MONGILLO-HERMAN PH.D. (NPI 1700017829) is an individual clinical provider in West Hartford, Connecticut, licensed in Connecticut (003111) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1700017829

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ELIZABETH A MONGILLO-HERMANCredential: PH.D.

Location Address784 FARMINGTON AVEWest Hartford, CT 06119-1619

Mailing Address784 Farmington AveWest Hartford, CT 06119-1619

Phone(860) 523-4450

Fax(860) 523-9537

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateAugust 6, 2009

Last NPPES UpdateFebruary 21, 2014

✔ NPI 1700017829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in CT · 003111✔ Licensed in MA · 9381

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.

784 FARMINGTON AVE, West Hartford, CT 06119

Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Elizabeth A Mongillo

Other Identifiers 2

Medicare UPIND400091545CT

Medicaid008045664CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Dr. Elizabeth A Mongillo-herman Ph.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 ID446493696

PECOS Enrollment IDI20130909000017

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 06119 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.

Other Providers at the Same Location NPPES 18

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

CLEMENTINE COUNSELING

Counselor (Professional)

784 FARMINGTON AVE
WEST HARTFORD, CT 06119

Capitol Planning Region (860) 245-9077

MS. CAROL ANN BOZENA MSW LCSW

Social Worker (Clinical)

784 FARMINGTON AVE
WEST HARTFORD, CT 06119

Capitol Planning Region (860) 523-4450

MS. ELIZABETH M TURNER MSW

Social Worker (Clinical)

784 FARMINGTON AVE, WOMEN'S CENTER FOR PSYCHOTHERAPY, LLC
WEST HARTFORD, CT 06119

Capitol Planning Region (860) 523-4450

DR. KATHRYN LYNN HENDERSON PHD, LPC, NCC

Counselor (Professional)

784 FARMINGTON AVE
WEST HARTFORD, CT 06119

Capitol Planning Region (860) 523-4450

MARY ELLEN LADD LCSW

Social Worker (Clinical)

784 FARMINGTON AVE
WEST HARTFORD, CT 06119

Capitol Planning Region (860) 523-4450

RACHEL JEAN ELLIS

Counselor (Mental Health)

784 FARMINGTON AVE
WEST HARTFORD, CT 06119

Capitol Planning Region (860) 523-4450

MRS. ELLEN DIANE THOMAS MSW

Social Worker (Clinical)

784 FARMINGTON AVE
WEST HARTFORD, CT 06119

Capitol Planning Region (860) 523-4450

DR. MARYAM JERNIGAN PHD

Psychologist (Clinical Child & Adolescent)

784 FARMINGTON AVE
WEST HARTFORD, CT 06119

Capitol Planning Region (860) 523-4450

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 Elizabeth Mongillo-herman's NPI number?

The NPI number for Elizabeth Mongillo-herman is 1700017829. It was assigned to this individual provider in the NPPES registry on August 6, 2009. The provider is also known as Dr. Elizabeth A Mongillo.

Where is Elizabeth Mongillo-herman located?

Elizabeth Mongillo-herman practices at 784 Farmington Ave, West Hartford, CT 06119. The listed phone number is (860) 523-4450.

What is Elizabeth Mongillo-herman's specialty?

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

Is Elizabeth Mongillo-herman enrolled in Medicare?

Yes. Elizabeth Mongillo-herman 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.

What insurance does Elizabeth Mongillo-herman accept?

Health plans from Providence Health Plan list Elizabeth Mongillo-herman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Mongillo-herman was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.