DR. MIRYAM WELBOURNE PSY.D.
NPI 1811363062
Psychologist in Middletown, CT

Active since August 11, 2015
363 MAIN ST, MIDDLETOWN, CT 06457(203) 836-1794(888) 600-3738 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2018, Nov 12, 2018, Feb 11, 2016 (3 updates tracked since 2016).

About Dr. Miryam Welbourne Psy.d. NPPES

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

DR. MIRYAM WELBOURNE PSY.D. (NPI 1811363062) is an individual psychologist in Middletown, Connecticut, licensed in Connecticut (3491) and active in the NPI registry since August 2015. She maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1811363062
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MIRYAM WELBOURNECredential: PSY.D.
Location Address363 MAIN STMiddletown, CT 06457-3359
Mailing Address104 Strickland RdMiddlefield, CT 06455-1225 · (203) 836-1794 · Fax (888) 600-3738
Fax(888) 600-3738
Sole ProprietorYes
Enumeration DateAugust 11, 2015
Last NPPES UpdateDecember 12, 20183 updates tracked since enumeration
NPI 1811363062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CT · 3491
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
363 MAIN ST, Middletown, CT 06457

Other Names 1

Professional Name (2)Dr. Miryam Welbourne Psy.d.

Secondary Practice Location 1

Location 1261 Bradley StNew Haven, CT 06510-1110 · Phone (203) 836-1794 · Fax (888) 600-3738

Other Identifiers 1

Medicaid008061424CT

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.

Social Worker (Clinical)
363 MAIN ST, # 513
MIDDLETOWN, CT 06457
Nurse Practitioner (Psychiatric/Mental Health)
363 MAIN ST
MIDDLETOWN, CT 06457
Social Worker
363 MAIN ST
MIDDLETOWN, CT 06457
Psychologist (Clinical)
363 MAIN ST, SUITE 405
MIDDLETOWN, CT 06457

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 Miryam Welbourne's NPI number?

The NPI number for Miryam Welbourne is 1811363062. It was assigned to this individual provider in the NPPES registry on August 11, 2015. The provider is also known as Dr. Miryam Welbourne Psy.D..

Where is Miryam Welbourne located?

Miryam Welbourne practices at 363 Main St, Middletown, CT 06457. The listed phone number is (203) 836-1794.

What is Miryam Welbourne's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Miryam Welbourne was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.