Robert Bruce Citrin, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1062 Issued in CT

Practice address

1700 Post Rd
Suite C-18
Fairfield, CT 06824-5795

Phone

(203) 254-3800

Fax

(203) 254-7062

NPI assigned

Dec 23, 2006

Sex

Male

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

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, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801951561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 POST RD",
            "address_2": "SUITE C-18",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245795",
            "telephone_number": "203-254-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 POST RD",
            "address_2": "SUITE C-18",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245795",
            "telephone_number": "203-254-3800",
            "fax_number": "203-254-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITRIN",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "1062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William G Cimino, M.D.
• Madison Cingari-Suden, CCC-SLP
• Darlene Cioppa
• Jennifer S Ciotti, OTR/L, CHT
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• Bridget Blake Clark, LPC
• Courtney Clark, PSYD

• Psychologist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.