Provider Demographics
NPI:1023815859
Name:BASKIN-SOMMERS, ARIELLE (PHD)
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:
Last Name:BASKIN-SOMMERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 WALL ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-6606
Mailing Address - Country:US
Mailing Address - Phone:323-806-1192
Mailing Address - Fax:
Practice Address - Street 1:71 WALL ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-6606
Practice Address - Country:US
Practice Address - Phone:323-806-1192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3477103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical