Individual provider Active NPI

Jonathan Richard Garfinkle, PH.D.

  • Clinical Psychologist
  • Woodbridge, CT
National Provider Identifier
1043885379
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003950 Issued in CT
Practice address
100 Maple Vale Dr
Woodbridge, CT 06525-1100
Phone
(203) 997-7630
NPI assigned
May 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 003950 CT Primary

Addresses

Primary practice location

100 Maple Vale Dr
Woodbridge, CT 06525-1100

Mailing address

100 Maple Vale Dr
Woodbridge, CT 06525-1100
Phone (203) 997-7630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002002021 CT Practitioner - Clinical Psychologist 9436208782 Practice locations: Woodbridge, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Bradley Rd
Suite 406
Woodbridge, CT 06525-2235
Phone (203) 997-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
003950CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of New Haven Inc. PastSince Feb 2, 2009 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/jfsnh/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1043885379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAPLE VALE DR",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251100",
            "telephone_number": "203-997-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAPLE VALE DR",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251100",
            "telephone_number": "203-997-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARFINKLE",
        "first_name": "JONATHAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

Verify at the official NPI Registry.