Individual provider Active NPI

W. Dean Pfeifer, PHD

  • Clinical Psychologist
  • Madison, CT
National Provider Identifier
1487628624
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
000932 Issued in CT
Practice address
149 Durham Rd 31
Madison, CT 06443-2664
Phone
(203) 245-1956
Fax
(203) 245-6710
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 000932 CT Primary

Addresses

Primary practice location

149 Durham Rd 31
Madison, CT 06443-2664

Mailing address

149 Durham Road
Suite 31
Madison, CT 06443-2664
Phone (203) 245-1956

Other identifiers 1

IdentifierTypeStateIssuer
004114352MedicaidCT

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
I20070207000332 CT Practitioner - Clinical Psychologist 3476555251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

149 Durham Rd
Suite 31
Madison, CT 06443-2664
Phone (203) 245-1956

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000932CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Counseling Associates, LLC CurrentSince May 1, 2016 Accepting new patients
Medoptions Behavioral Health Assoc, LLC Clinical Past Accepting new patients

Locations

149 Durham Rd
Ste 31
Madison, CT 06443
Phone (203) 245-1956

Organizations & group practices 2

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487628624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 DURHAM ROAD",
            "address_2": "SUITE 31",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432664",
            "telephone_number": "203-245-1956",
            "fax_number": "203-245-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 DURHAM RD 31",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432664",
            "telephone_number": "203-245-1956",
            "fax_number": "203-245-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFER",
        "first_name": "W. DEAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "000932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004114352",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.