Cheree Louise Fenske, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

002923 Issued in CT

Practice address

761 Main Ave Ste 104
Norwalk, CT 06851

Phone

(203) 855-9691

Fax

(203) 855-9791

NPI assigned

Aug 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Neuropsychology Consultants, LLCGroup PAC ID 0345135828, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Neuropsychology Consultants, LLC

  • Clinical Neuropsychologist
  • Wilton, CT
  • NPI 1942208814
  Medicare reassignment Care Compare group NPD
• Waveny Care Center, Inc

  • Skilled Nursing Facility
  • New Canaan, CT
  • NPI 1740277094
  Medicare reassignment
• Laurel Chandler MD PLLC

  • Plastic Surgery Physician
  • Wilton, CT
  • NPI 1073177184
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1356573547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ROCK SPRING RD",
            "address_2": "UNIT 1",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061954",
            "telephone_number": "917-566-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE STE 104",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-855-9691",
            "fax_number": "203-855-9791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 W 56th St Ste 1804",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100193878",
            "country_code": "US",
            "telephone_number": "212-851-8100",
            "fax_number": "888-977-2547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENSKE",
        "first_name": "CHEREE",
        "middle_name": "LOUISE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015866",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "002923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03142541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Fedro, DPT
• Mark E Feigen, DMD
• Bianca Feliz
• Clifford W Feller, MD
• Avalon Dibner Fennessey, CPNP-PC
• June Feola, APRN
• Fernow House Calls, PC
• Jessica Ferreira, RN
• Linda S Ferro, APRN
• Mary Beth Fessler, APRN

• Clinical Neuropsychologist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Clinical Neuropsychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.