DR. FRANK G FORTUNATI JR. (NPI# 1053452011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053452011 |
| Entity Type | Individual |
| Full Name | DR. FRANK G FORTUNATI JR. |
| Credential | M.D., J.D. |
| Practice Address |
234 Church St Suite 301 New Haven CT 06510-1804 |
| Practice Telephone | 2034881457 |
| Practice Fax Number | 2036438452 |
| Mailing Telephone | 2034881457 |
| Mailing Fax Number | 2036438452 |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2017-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
25MA07565000 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
037908 | CT | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MA07565000 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
037908 | CT | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25MA07565000 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
037908 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
234 CHURCH ST SUITE 301 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073556841 | Anna Ostrovskaya | Psychiatry & Neurology | 234 Church St, Suite 1201, New Haven, CT 06510-1804 | 2006-06-13 |
| 1053747691 | Jonathan Borak | Preventive Medicine | 234 Church St, New Haven, CT 06510-1804 | 2013-09-15 |
| 1912234238 | Michael Vincent Pantalon | Psychologist | 234 Church St, Suite 301, New Haven, CT 06510-1804 | 2009-11-06 |
| 1780845495 | Barbara Mason | Psychiatry & Neurology | 234 Church St, Suite 300, New Haven, CT 06510-1804 | 2008-06-24 |
| 1811010119 | Vladimir Coric Jr. | Psychiatry & Neurology | 234 Church St, Suite 301, New Haven, CT 06510-1804 | 2007-04-09 |
| 1003950239 | Sidney Hornor Phillips | Psychiatry & Neurology | 234 Church St, Suite #300, New Haven, CT 06510-1804 | 2007-02-19 |
| 1770622805 | Barbara Fibel Marcus | Psychologist | 234 Church St, Suite 300, New Haven, CT 06510-1804 | 2007-02-05 |
| 1265599583 | Andrew Lloyd Balter | Psychiatry & Neurology | 234 Church St, Suite 1201, New Haven, CT 06510-1804 | 2007-01-03 |
| 1376655399 | Patricia Anne Balter | Psychologist | 234 Church St, Suite 1201, New Haven, CT 06510-1804 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962647842 | Pamela Edie Hoffman | Psychiatry & Neurology | 230 S Frontage Rd # G112, New Haven, CT 06519-1124 | 2008-12-08 |
| 1417155912 | Paul Saad El-fishawy | Psychiatry & Neurology | 291 Whitney Ave Ste 404, New Haven, CT 06511-3765 | 2007-07-05 |
| 1528261294 | Guita Epstein Wilf | Psychiatry & Neurology | 646 George St, New Haven, CT 06511-5322 | 2007-06-08 |
| 1902921380 | Cornell Scott Hill Health Corporation | Psychiatry & Neurology | 400-428 Columbus Avenue, New Haven, CT 06519-1233 | 2007-03-21 |
| 1568578227 | Margo L. Fugate | Psychiatry & Neurology | 226 Dixwell Avenue, Cfg-dixwell, New Haven, CT 06511-3456 | 2006-08-22 |
| 1912930033 | Pieter Joost Van Wattum | Psychiatry & Neurology | 93 Edwards St, New Haven, CT 06511-3933 | 2006-07-09 |
| 1487696282 | Eric S Millman | Psychiatry & Neurology | 64 Trumbull St, New Haven, CT 06510-1028 | 2006-06-13 |
| 1932197878 | James F Leckman | Psychiatry & Neurology | 230 S Frontage Rd, Sterling Hall of Medicine - I-wing, New Haven, CT 06519-1124 | 2005-10-13 |
| 1184153447 | Jose Manuel Paez | Psychiatry & Neurology | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2017-06-08 |
| 1255867255 | Robert Labril | Psychiatry & Neurology | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2017-05-11 |
| Find all providers in NEW HAVEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.