Denise Fogel, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

002558 Issued in CT

Practice address

116 S Main St
The Carriage House
Wallingford, CT 06492-4226

Phone

(860) 803-6707

Fax

(877) 310-0731

NPI assigned

Jul 19, 2006

Last updated

May 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1417976697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "address_2": "THE CARRIAGE HOUSE",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924226",
            "telephone_number": "860-803-6707",
            "fax_number": "877-310-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "address_2": "THE CARRIAGE HOUSE",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924226",
            "telephone_number": "860-803-6707",
            "fax_number": "877-310-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGEL",
        "first_name": "DENISE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "002558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lyn Fitzgibbons, RPT
• Floral Wellness Health Inc
• Claudia Isabella Florian, PHARM.D., BCCP, BCPS
• Kaitlyn Elizabeth Flynn, FNP-C
• Thomas Michael Flynn, PHARMD
• Robyn Caroline Footit, RN
• Danielle M Forester, N.D.
• Lyasia Forsythe
• Elizabeth Fox, MS, CCC-SLP
• Kristina Foye

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.