DR. DWAIN CLARK FEHON (NPI# 1528172269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528172269 |
| Entity Type | Individual |
| Full Name | DR. DWAIN CLARK FEHON |
| Credential | PSY.D. |
| Practice Address |
184 Liberty St Yale-new Haven Psychiatric Hospital New Haven CT 06519-1625 |
| Practice Telephone | 2036889779 |
| Practice Fax Number | 2036889709 |
| Mailing Telephone | 2036889779 |
| Mailing Fax Number | 2036889709 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
001906 | CT | Behavioral Health & Social Service Providers |
| Street Address |
184 LIBERTY ST YALE-NEW HAVEN PSYCHIATRIC HOSPITAL |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477542249 | Paula Cristina Zimbrean | Psychiatry & Neurology | 184 Liberty St, Yale Psychiatric Hospital - Lv125, New Haven, CT 06519-1625 | 2005-10-14 |
| 1699292458 | Amber A Morrone | Nurse Practitioner | 184 Liberty St, New Haven, CT 06519-1625 | 2017-08-23 |
| 1013387067 | Christopher John Andreozzi | Registered Nurse | 184 Liberty St, New Haven, CT 06519-1625 | 2015-10-03 |
| 1922492974 | David Alan Dietrick | Nurse Practitioner | 184 Liberty St, New Haven, CT 06519-1625 | 2015-03-26 |
| 1295136455 | Max Greger-moser | Nurse Practitioner | 184 Liberty St, New Haven, CT 06519-1625 | 2014-09-08 |
| 1073920898 | Yale New Haven Hospital | General Acute Care Hospital | 184 Liberty St, New Haven, CT 06519-1625 | 2014-07-14 |
| 1861808289 | Yale Psychiatric Hospital | Psychiatric Hospital | 184 Liberty St, New Haven, CT 06519-1625 | 2014-07-07 |
| 1528470762 | Karen Scherping-gulcicek | Social Worker | 184 Liberty St, New Haven, CT 06519-1625 | 2014-05-22 |
| 1114345196 | Sean Rumschik | Psychiatry & Neurology | 184 Liberty St, New Haven, CT 06519 | 2014-04-07 |
| 1992123301 | Chaya M Goldenberg | Social Worker | 184 Liberty St, New Haven, CT 06519-1625 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079547 | Sarah Phillips | Psychologist | 1 Long Wharf Dr Ste G7, New Haven, CT 06511-5991 | 2020-10-05 |
| 1831700103 | Rebecca G Boswell | Psychologist | 22 Gold St Apt 106, New Haven, CT 06519-1641 | 2020-08-11 |
| 1255974242 | Adriana Deamicis | Psychologist | 129 Church St Ste 704, New Haven, CT 06510-2043 | 2019-10-22 |
| 1679044424 | Mackenzie Rae Peltier | Psychologist | 9 Wooster Pl Apt 2, New Haven, CT 06511-6969 | 2018-12-05 |
| 1184120024 | Francis Xavier Gregory | Psychologist | 900 Chapel St Ste 1212, New Haven, CT 06510-2806 | 2018-03-31 |
| 1750813366 | Maureen S Thomas | Psychologist | 156 Lenox St, New Haven, CT 06513-4405 | 2017-04-02 |
| 1548709629 | Rebecca Miller | Psychologist | 34 Park St Rm 271b, New Haven, CT 06519-1109 | 2017-02-22 |
| 1295138717 | Parastoo Pamela Ghazi | Psychologist | 14 Trumbull St # 112, New Haven, CT 06511-6312 | 2014-09-29 |
| 1689075855 | Emily B Ansell | Psychologist | 2 Church St S Ste 209, New Haven, CT 06519-1717 | 2014-09-08 |
| 1124428313 | Scuddy Fontenelle Iv | Psychologist | 40 Temple St Ste 7d, New Haven, CT 06510-2715 | 2014-08-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.