Active NPI
Wayne David Rosenfield, PH.D.
- Psychologist
- Putnam, CT
National Provider Identifier
1346309507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 000935
- Practice address
- 320 Pomfret St
Day Kimball Healthcare
Putnam, CT 06260-1836 - Phone
- (860) 963-6385
- Fax
- (860) 963-6393
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 000935 | CT | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 000935 | CT | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 000935 | CT | |
| School Psychologist | 103TS0200X | 000935 | CT | |
| Health Service Psychologist | 103TH0100X | 000935 | CT |
Addresses
Primary practice location
320 Pomfret St
Day Kimball Healthcare
Putnam, CT 06260-1836
Mailing address
320 Pomfret St
Day Kimball Healthcare
Putnam, CT 06260-1836
Phone (860) 963-6385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008036465 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Interoperability endpoints
- wrosenfield2@ctproviderdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1346309507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 POMFRET ST",
"address_2": "DAY KIMBALL HEALTHCARE",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601836",
"telephone_number": "860-963-6385",
"fax_number": "860-963-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 POMFRET ST",
"address_2": "DAY KIMBALL HEALTHCARE",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601836",
"telephone_number": "860-963-6385",
"fax_number": "860-963-6393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENFIELD",
"first_name": "WAYNE",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "000935",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CT",
"license": "000935",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "CT",
"license": "000935",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CT",
"license": "000935",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "CT",
"license": "000935",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008036465",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.