DR. DEREK ALAN FENWICK


Address: 200 Retreat Ave, Hartford, CT 06106-3310
Phone: 8605457437

DR. DEREK ALAN FENWICK (NPI# 1831797174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831797174
Entity Type Individual
Full Name DR. DEREK ALAN FENWICK
Credential PSY.D.
Practice Address 200 Retreat Ave
Hartford
CT 06106-3310
Practice Telephone 8605457437
Practice Fax Number 8609725937
Mailing Telephone 8605457437
Mailing Fax Number 8609725937
Enumeration Date 2020-10-09
Last Update Date 2020-10-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers DEREK FENWICK

NPI Name Taxonomy Address Enumeration
1790875102 Derek Nathan Fenwick Physical Therapist 4560 Se International Way, Consonus Rehab Services, Milwaukie, OR 97222 2006-10-14

Office Location

Street Address 200 RETREAT AVE
City HARTFORD
State CT
Zip Code 06106-3310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205833936 Charles F Caley Pharmacist 200 Retreat Ave, Hartford, CT 06106-3309 2005-07-07
1215542436 Diana Kolcz Clinical Neuropsychologist 200 Retreat Ave, Hartford, CT 06102-3101 2020-09-14
1588278550 Moselle Campbell Psychologist 200 Retreat Ave, Hartford, CT 06106-3309 2020-09-07
1346860665 Emily Rosen-wachs Student in an Organized Health Care Education/Training Program 200 Retreat Ave, Hartford, CT 06106-3309 2020-04-17
1578183893 Andrew Ding Student in an Organized Health Care Education/Training Program 200 Retreat Ave, Hartford, CT 06106-3309 2020-04-17
1346860590 Lilly Rizzo Student in an Organized Health Care Education/Training Program 200 Retreat Ave, Hartford, CT 06106-3309 2020-04-17
1225657521 Ronald E Weir Jr. Student in an Organized Health Care Education/Training Program 200 Retreat Ave, Hartford, CT 06106-3309 2020-04-16
1669091088 Carolina Michelle Vicens Cardona Student in an Organized Health Care Education/Training Program 200 Retreat Ave, Hartford, CT 06106-3310 2020-04-15
1508497033 Kristina Ann-marie Flemming Registered Nurse 200 Retreat Ave, Hartford, CT 06106-3310 2020-02-03
1023653169 Rachel Mcclain Social Worker 200 Retreat Ave, Hartford, CT 06106-3309 2019-11-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750907325 Vartika Kesarwani Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-19
1720602865 Meher Kaur Singha Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-04
1497314140 Eduardo Mantovani Cardoso Student in an Organized Health Care Education/Training Program Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-06-06
1114582178 Dimitrios Drekolias Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-05-06
1316501687 Rafae Shaikh Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-04-23
1437643715 Lucas Bensa Social Worker 421 Washington St., Apt C1, Hartford, CT 06106 2018-06-19
1548754310 Collin Dimler Physician Assistant 85 Seymour St Ste 1003, Hartford, CT 06106 2018-06-15
1619460581 Bryan F Stringer Student in an Organized Health Care Education/Training Program 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 2018-06-14
1083103972 Margret Sigurdardottir Blondal Student in an Organized Health Care Education/Training Program 282 Washington Street, Ste 4h, Hartford, CT 06106 2018-05-07
1265920995 Rudra Ramanathan Student in an Organized Health Care Education/Training Program 79 Retreat Ave Brown Stone, Hartford, CT 06106 2018-04-27
Find all providers in zip 06106

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750907325 Vartika Kesarwani Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-19
1720602865 Meher Kaur Singha Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-04
1275155939 Pruthwy R Addanki Student in an Organized Health Care Education/Training Program Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 2020-05-15
1841810355 Ashwin Mahesh Student in an Organized Health Care Education/Training Program 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 2020-04-24
1669009916 Amjad O. M. Saad Student in an Organized Health Care Education/Training Program 80 Seymour St # 6102, Hartford, CT 06102-8000 2020-03-26
1497317986 Muhammad Akrmah Student in an Organized Health Care Education/Training Program 250 Main St Apt 431, Hartford, CT 06106-1871 2019-07-03
1700447802 Samuel Flynn Student in an Organized Health Care Education/Training Program 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 2019-06-28
1497314140 Eduardo Mantovani Cardoso Student in an Organized Health Care Education/Training Program Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-06-06
1518523059 Krishna Patel Student in an Organized Health Care Education/Training Program 86 Seymour St, Hartford, CT 06106-2441 2019-05-09
1114582178 Dimitrios Drekolias Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-05-06
Find all providers in HARTFORD

Competitor

Search similar providers

City HARTFORD
Zip Code 06106

Improve Information

Please comment or provide details below to improve the information on DR. DEREK ALAN FENWICK.

Dataset Information

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.

Trending Searches