=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093607640
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANELL CAYLA THAU MA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/17/2025
-----------------------------------------------------
Last Update Date | 07/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 82 PARK AVE
-----------------------------------------------------
City | DANBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06810-7630
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-797-4763
-----------------------------------------------------
Fax | 203-790-2608
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18 DONALD LN
-----------------------------------------------------
City | OSSINING
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10562-3912
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TS0200X
-----------------------------------------------------
Taxonomy Name | School Psychologist
-----------------------------------------------------
License Number | C072024002131
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------