Philip Frick, DNP, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2715 Issued in CT

Practice address

30 Main St
East Haven, CT 06512

Phone

(860) 961-0785

Fax

(203) 891-5976

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TMS Neurohealth PLLCGroup PAC ID 7719216548, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: philip.frick.1@18773.direct.athenahealth.com

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.

• TMS Neurohealth PLLC

  • Psychiatry Physician
  • East Haven, CT
  • NPI 1093282360
  Medicare reassignment Care Compare group NPD
• New England Health and Recovery LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • East Haven, CT
  • NPI 1295189926
  Medicare reassignment Authorized official
• Intercommunity, Inc.

  • Primary Care Clinic/Center
  • East Hartford, CT
  • NPI 1073548533
  NPD (past)
• Intercommunity, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Hartford, CT
  • NPI 1962896548
  NPD (past)
• Medoptions Behavioral Health Assoc, LLC

  • Nurse Practitioner
  • Old Saybrook, CT
  • NPI 1588604060
  NPD (past)
• Personal Healing Clinical Services LLC

  • Clinical Social Worker
  • East Haven, CT
  • NPI 1033562608
  NPD (past)
• Urologic Associates, PC

  • Urology Physician
  • New London, CT
  • NPI 1740362730
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531612800000",
    "number": "1689627044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063570719",
            "telephone_number": "860-961-0785",
            "fax_number": "203-891-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "06512",
            "telephone_number": "860-961-0785",
            "fax_number": "203-891-5976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Montauk Ave",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204906",
            "country_code": "US",
            "telephone_number": "860-271-4715",
            "fax_number": "860-271-4797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRICK",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "2715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008013924",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Fitzgerald, DPT
• John Anthony Florentino, PHARM D
• Amanda Foti, PA-C
• Fpim of New Haven County,LLC
• Gianna Rose Franceschini
• Monika Violet Fuller, PA-C
• Sara Marie Furino, D.M.D.
• Angela Sophia Galantini, PA
• Karen P Gallo
• Dominic Gambino, DMD

• Psychiatric/Mental Health Nurse Practitioner in East Haven, CT
• Providers in East Haven, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.