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Deactivated NPI 1972811040 Deactivated / Inactive NPI Female Practitioner

Dr. Irma Sue Van Dam , PhD

Psychologist • Stamford, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Irma Van Dam has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2010
NPI Deactivation Date December 06, 2023
Total Practice Duration ~13 Years of Practice (2010 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Irma Van Dam, PhD was a registered Psychologist practicing in Stamford, CT. Throughout an active medical career spanning 13 years, Dr. Van Dam provided care at the practice location at 32 BARNES RD W until profile deactivation on 2023-12-06.

Practice Location & Contact Primary Location

Practice Address

32 Barnes Rd W

Stamford, CT 069021243

Telephone 2033299752
Fax 2039688138

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Stamford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 29.2 Yrs
Regional Practice Density
33 Specialists

Practicing in Stamford, CT (697 Statewide)

Telehealth Adoption Rate
3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License CT 1175

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 06, 2023

Record deactivated on December 06, 2023

NPI Profile Active September 22, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 22, 2010

Registered at 32 BARNES RD W, STAMFORD, CT 069021243 (Tel: 2033299752)

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Updated Business Mailing Address September 22, 2010

Registered at 32 BARNES RD W, STAMFORD, CT 069021243 (Tel: 2033299752)

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Provider Name / Credentials Updated September 22, 2010

Recorded as IRMA VAN DAM, PH.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2010

Psychologist (License #1175 in CT)

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Initial NPI Registration & Enumeration September 22, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972811040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2010
Last Update: September 22, 2010
Deactivation Date: December 06, 2023

Mailing Address

32 Barnes Rd W

Stamford, CT 069021243

Phone: 2033299752

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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