Healthcare Provider Details

I. General information

NPI: 1124944541
Provider Name (Legal Business Name): SOPHIE CLAIRE PATCHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 E PUTNAM AVE
OLD GREENWICH CT
06870-1379
US

IV. Provider business mailing address

32 EDGEWOOD DR
GREENWICH CT
06831-5240
US

V. Phone/Fax

Practice location:
  • Phone: 203-622-8600
  • Fax:
Mailing address:
  • Phone: 475-359-9185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: