Healthcare Provider Details

I. General information

NPI: 1316858921
Provider Name (Legal Business Name): ERICA POMERANTZ, PSY.D. PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 PARK ST STE 103
NEW CANAAN CT
06840-4532
US

IV. Provider business mailing address

72 PARK ST STE 103
NEW CANAAN CT
06840-4532
US

V. Phone/Fax

Practice location:
  • Phone: 516-946-2387
  • Fax:
Mailing address:
  • Phone: 516-946-2387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ERICA POMERANTZ
Title or Position: OWNER
Credential: PSY.D.
Phone: 516-946-2387