DR. PHILIP FRICK


Address: 30 Main St, East Haven, CT 06512
Phone: 8609610785

DR. PHILIP FRICK (NPI# 1689627044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689627044
Entity Type Individual
Full Name DR. PHILIP FRICK
Credential DNP, APRN
Practice Address 30 Main St
East Haven
CT 06512
Mailing Address Po Box 719
Niantic
CT 06357-0719
Practice Telephone 8609610785
Practice Fax Number 2038915976
Mailing Telephone 8609610785
Mailing Fax Number 2038915976
Enumeration Date 2006-05-18
Last Update Date 2018-07-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
2715 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 008013924 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
21 Montauk Ave, New London, CT 063204906 8602714715 8602714797

Office Location

Street Address 30 MAIN ST
City EAST HAVEN
State CT
Zip Code 06512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033562608 Personal Healing Clinical Services LLC Social Worker 30 Main St, East Haven, CT 06512 2016-07-19
1285883082 Laura J Trigila Social Worker 30 Main St, East Haven, CT 06512 2008-09-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760040489 Caroline Grace Wajdowicz Specialist/Technologist 114 Eddon Drive, East Haven, CT 06512 2019-05-29
1194074070 Albert Marshall D'onofrio Dentist 300 Hemingway Ave., East Haven, CT 06512 2012-09-06
1073654158 Tom A Davies I Pharmacist 392 Hemingway Ave., East Haven, CT 06512 2007-02-09
1346326840 Susanne E Davis Counselor 595 Thompson Avenue, East Haven Counseling & Community Services, East Haven, CT 06512 2006-10-27
1124111828 Ronald R. Montano Dentist 310 Main Street, East Haven, CT 06512 2006-10-02
1518985183 Town of East Haven East Haven Counseling and Community Services Clinic/Center 595 Thompson Ave, East Haven Counseling & Community Services, East Haven, CT 06512 2006-07-18
1386629020 Michael J. Vandlik, Dmd&associates LLC Dentist 280 Main Street, East Haven, CT 06512 2005-12-14
1174507230 Tarvinder Pal Singh Arora Dentist 300 Hemingway Ave, Ste #3, East Haven, CT 06512 2005-12-02
1457342651 Whispering Pines Rehabilitation and Nursing Center LLC Skilled Nursing Facility 38 Talmadge Avenue, East Haven, CT 06512 2005-11-04
1407477417 T & S Home Care Agency LLC Home Health 5 Chamberlain Pl, New Haven, CT 06512 2020-04-30
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427475672 Jane Regan Aprn LLC Nurse Practitioner 560 Silver Sands Rd, Unit 505, East Haven, CT 06512-4600 2014-03-26
1295189926 New England Health and Recovery LLC Nurse Practitioner 310 Main St, Lower Level, East Haven, CT 06512-2919 2016-04-19
1922051135 Linda Grisgraber Nurse Practitioner 310 Main St, Lowr Level, East Haven, CT 06512-2919 2006-05-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578164935 Sheneese Denelle Charles Nurse Practitioner 22 Victoria Rd, New Britain, CT 06052-1536 2020-11-03
1396345179 Kate Hanselman Nurse Practitioner 224 Saint John St # 3l, New Haven, CT 06511-4917 2020-10-29
1518565399 Gina Kolstad Nurse Practitioner 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 2020-10-13
1043818966 Shakeria C Brown Nurse Practitioner 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 2020-10-13
1154937910 Gregory Guion Nurse Practitioner 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 2020-09-17
1003425331 Ryan Keenan Nurse Practitioner 34 Seaview Ave, West Haven, CT 06516-6846 2020-07-22
1649888256 Healthy Minds Pllc Nurse Practitioner 40 Russ St, Hartford, CT 06106-1520 2020-07-20
1174131205 Kimberly Levitt Nurse Practitioner 466 Ridgebury Rd, Ridgefield, CT 06877-1228 2020-07-15
1801414602 Georgina Twumasi Mental Health LLC Nurse Practitioner 29 Wildwood Cir, South Windsor, CT 06074-1700 2020-07-08
1356978688 Rachel Feit Nurse Practitioner 63 Pine Tree Dr, Stamford, CT 06906-1529 2020-03-25
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Competitor

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City EAST HAVEN
Zip Code 06512

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Dataset Information

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.

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