FOENIX MEDICAL CONSULTING PLLC (NPI# 1912463423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912463423 |
| Entity Type | Organization |
| Organization Name | FOENIX MEDICAL CONSULTING PLLC |
| Practice Address |
1 Turkey Hill Rd S Ste 100 Westport CT 06880-5525 |
| Mailing Address |
1449 Whalley Ave Unit 3787 New Haven CT 06525-7716 |
| Practice Telephone | 8609188859 |
| Mailing Telephone | 8609188859 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-03-05 |
| Authorized Official Name | TAIYE OGUNDIPE (MANAGER) |
| Authorized Official Telephone | 8609188859 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084B0002X |
Psychiatry & Neurology Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | FOENIX MEDICAL CONSULTING PLLC | 7014 13th Avenue, Suite 202, Brooklyn, Ny 11228 |
| Street Address |
1 TURKEY HILL RD S STE 100 |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801052386 | Taiye Akinwande Ogundipe | Psychiatry & Neurology | 1 Turkey Hill Rd S Ste 100, Westport, CT 06880-5525 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705573 | Meredith Poster | Psychologist | 6 Rustic Lane, Westport, CT 06880 | 2020-09-18 |
| 1811502867 | Zion Pt Ct PC | Clinic/Center | 1555 Post Road East, Inside Sherpa, Westport, CT 06880 | 2020-09-15 |
| 1013539030 | Risa Jill Werner | Social Worker | 12 Peaceful Lane, Westport, CT 06880 | 2020-05-13 |
| 1588226880 | Heather B Bauer | Nutritionist | 21 Bridge Sqaure, Westport, CT 06880 | 2019-07-08 |
| 1659938603 | Kevin Stimmel | Physical Therapist | 429 Post Rd E, Westport, CT 06880 | 2019-05-24 |
| 1093379307 | Jonathan David Geller | Social Worker | 166 Kings Highway North, Westport, CT 06880 | 2019-04-23 |
| 1942766480 | Shevonte M Johnson | Adult Companion | 100 Casals Apt 19a, Bronx, NY 06880 | 2019-02-20 |
| 1982175014 | Denese Marshall LLC | Counselor | 117 Post Road West, Westport, CT 06880 | 2018-12-16 |
| 1003398298 | Joan Frimmer | Social Worker | 138 Imperial Avenue, Westport, CT 06880 | 2018-09-04 |
| 1053891044 | Andree Palmgren | Counselor | 246 Post Rd East, 2nd Floor, Westport, CT 06880 | 2018-08-19 |
| Find all providers in zip 06880 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255674024 | Joan Frances Poll | Psychiatry & Neurology | 16 Bushy Ridge Rd, Westport, CT 06880-2105 | 2013-03-31 |
| 1578882163 | Mitchell Seth Gandelman | Psychiatry & Neurology | 25 Cob Dr, Westport, CT 06880-2114 | 2010-05-23 |
| 1083942353 | Dennis D'arcy Banks | Psychiatry & Neurology | 225 North Main St., Westport, CT 06880 | 2009-11-25 |
| 1225271661 | Shweta Amin | Psychiatry & Neurology | 177 Post Rd W Ste 3, Westport, CT 06880-4652 | 2009-04-15 |
| 1073770194 | Joseph Abel Russo | Psychiatry & Neurology | 177 Post Rd W, 2nd Floor, Westport, CT 06880-4652 | 2008-05-16 |
| 1275711442 | Anita M Lopker | Psychiatry & Neurology | 18 Burr Rd, Westport, CT 06880-4219 | 2008-02-09 |
| 1043402829 | Charles John Kallick | Psychiatry & Neurology | 12 Crooked Mile Rd, Westport, CT 06880-1123 | 2007-08-15 |
| 1457464406 | Mohamed Elsamra | Psychiatry & Neurology | 53 Riverside Ave, Westport, CT 06880-4215 | 2006-08-16 |
| 1356350169 | Stewart B Levine | Psychiatry & Neurology | 47 Long Lots Rd, Westport, CT 06880-3828 | 2006-08-08 |
| 1346260015 | Jill Barron | Psychiatry & Neurology | 5 Sylvan Rd S, Westport, CT 06880-4614 | 2006-07-19 |
| Find all providers in WESTPORT | ||||
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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.