DR. BRYAN WILLIAM FENNELLY (NPI# 1669588406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669588406 |
| Entity Type | Individual |
| Full Name | DR. BRYAN WILLIAM FENNELLY |
| Credential | M.D. |
| Practice Address |
8 Shunpike Rd Suite 9 Madison NJ 07940-2740 |
| Practice Telephone | 9736600084 |
| Practice Fax Number | 9739660332 |
| Mailing Telephone | 9736600084 |
| Mailing Fax Number | 9739660332 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2010-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MA06022900 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25MA06022900 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6255809 | 05 |
| Street Address |
8 SHUNPIKE RD SUITE 9 |
| City | MADISON |
| State | NJ |
| Zip Code | 07940-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326032251 | Cecilia Menes Dilzell | Social Worker | 8 Shunpike Rd, Madison, NJ 07940-2740 | 2005-09-07 |
| 1255713095 | Yan Mei Luo | Family Medicine | 8 Shunpike Rd, Madison, NJ 07940 | 2015-06-28 |
| 1285843573 | Dennis G Coyle | Dentist | 8 Shunpike Rd, Madison, NJ 07940-2740 | 2007-05-22 |
| 1508072828 | John Thomas Faillace | Dentist | 8 Shunpike Rd, Madison, NJ 07940 | 2007-05-15 |
| 1982722096 | Madison Family Practice | Family Medicine | 8 Shunpike Rd, Madison, NJ 07940-2740 | 2007-03-27 |
| 1184725418 | Michael Jay Terzis Jr. | Dentist | 8 Shunpike Rd, Madison, NJ 07940 | 2006-09-26 |
| 1851357792 | Leticia Ramos Gonzalez | Pediatrics | 8 Shunpike Rd, Madison, NJ 07940-2740 | 2006-04-20 |
| 1740259019 | Gary Berger | Family Medicine | 8 Shunpike Rd, Madison, NJ 07940-2740 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457441 | Madison Dentistry LLC | Dentist | 268 Main Street, Suite B, Madison, NJ 07940 | 2019-10-07 |
| 1497311294 | Brenda Sue Stepak | Psychologist | 4 Giralda Farms, Madison, NJ 07940 | 2019-05-16 |
| 1578919825 | Michelle Solino | Counselor | 135 Green Ave, Madison, NJ 07940 | 2016-05-05 |
| 1225400328 | Alexis Rahman | Nurse Practitioner | 5 Giralda Farms, Madison, NJ 07940 | 2015-10-28 |
| 1417208315 | Jared D Cooper | Physical Therapist | 20 Cook Plaza, Madison, NJ 07940 | 2012-10-02 |
| 1366779548 | Joanna M Smith | Social Worker | 57 Kings Road, Madison, NJ 07940 | 2009-11-10 |
| 1235377920 | Jenifer Harris Stein | Dietitian, Registered | 22 Keep Street, Madison, NJ 07940 | 2009-02-03 |
| 1629261763 | Professional Physical Therapy & Training, LLC | Clinic/Center | 111 Kings Road, Madison, NJ 07940 | 2007-08-22 |
| 1275757122 | Grace Counseling Center | Counselor | 16 Madison Avenue, Madison, NJ 07940 | 2007-04-12 |
| 1184742033 | Gloria T Paknis | Social Worker | 37 Kings Road, Madison, NJ 07940 | 2007-03-27 |
| Find all providers in zip 07940 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407410921 | Dr. Katrina Furey, Md, LLC | Psychiatry & Neurology | 147 Durham Rd Ste 12ane, Madison, CT 06443-2675 | 2019-04-30 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1790212603 | Imad Khan | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Avenue, Madison, WI 53792 | 2017-05-23 |
| 1548632656 | Linda Marie Brzustowicz | Psychiatry & Neurology | 40 Green Ave, Madison, NJ 07940-2532 | 2015-10-28 |
| 1740676519 | Gene Yang | Psychiatry & Neurology | 406 Science Dr Ste 110, Madison, WI 53711-1097 | 2015-04-08 |
| 1265844682 | Travis Gordon Kruger | Psychiatry & Neurology | 6001 Research Park Blvd., Wisconsin Psychiatric Institute & Clinics (wispic), Madison, WI 53719 | 2014-05-21 |
| 1477973378 | Katrina Louise Furey | Psychiatry & Neurology | 147 Durham Rd Ste 12a-ne, Madison, CT 06443 | 2014-04-18 |
| 1841619889 | Ying Wang | Psychiatry & Neurology | 600 Highland Ave,h4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2014-04-07 |
| 1477896595 | William Thomas Mckinney | Psychiatry & Neurology | 3660 Lake Mendota Dr, Madison, WI 53705-1475 | 2013-03-27 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| Find all providers in MADISON | ||||
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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.