Individual provider Active NPI

Robert S Denkin, PH.D.

  • Clinical Psychologist
  • New Canaan, CT
National Provider Identifier
1902118326
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19705 Issued in CA
Practice address
51 Locust Ave
Suite 302a
New Canaan, CT 06840-4739
Phone
(203) 966-9445
NPI assigned
Jul 14, 2010
Last updated
Jul 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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 PSY19705 CA Primary

Addresses

Primary practice location

51 Locust Ave
Suite 302a
New Canaan, CT 06840-4739

Mailing address

51 Locust Ave
Suite 302a
New Canaan, CT 06840-4739
Phone (203) 966-9445

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
I20110519000109 CT Practitioner - Clinical Psychologist 7416133863 Practice locations: New Canaan, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

51 Locust Ave
Suite 302a
New Canaan, CT 06840-9998
Phone (203) 727-7645

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY19705CAMDClinical Psychologist
3074CTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1902118326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 LOCUST AVE",
            "address_2": "SUITE 302A",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404739",
            "telephone_number": "203-966-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 LOCUST AVE",
            "address_2": "SUITE 302A",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404739",
            "telephone_number": "203-966-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENKIN",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

Verify at the official NPI Registry.