Frederic Taylor Agate, PHD
Individual provider Active NPI Psychologist · Darien, CT
NPI 1699501353 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1699501353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 330 Post Rd
Darien, CT 06820-3600 - Phone
- (203) 202-7654
- NPI assigned
- Sep 10, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
330 Post Rd
Darien, CT 06820-3600
Mailing address
330 Post Rd
Darien, CT 06820-3600
Other providers in Darien, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.