Active NPIIndividual providerSole proprietor

Dr. Connie R Fanelli, PHD

Psychologist, Clinical in Madison, Connecticut

NPI Number1518067313
Practice location
32 Copperfield Dr, Madison, CT 06443-1886
Fax
—
Last updated
August 29, 2023

Connie Richer Fanelli is a Psychologist, Clinical based in Madison, CT. Connie Richer Fanelli practices in Madison, CT and has the professional credentials of PHD. The NPI Number for Connie Richer Fanelli is 1518067313 and holds a License No. 001446 (CT). The current practice location address for Connie Richer Fanelli is 32 Copperfield Dr, Madison, CT 06443-1886 and can be reached out via phone at 203-530-8862.

Provider Profile Details

NPI Number
1518067313
Provider Name
Connie Richer Fanelli
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
32 Copperfield Dr, Madison, CT 06443-1886
Phone Number
203-530-8862
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 22, 2006
Last Update Date
August 29, 2023
Certification Date
August 29, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
32 Copperfield Dr
Madison, CT 06443-1886
Zip
06443-1886
Phone Number
203-530-8862
Madison, CT 06443Get directions →

Provider Business Mailing Address Details

Address
32 Copperfield Dr
Madison, CT 06443-1886
City
Madison
State
CT
Zip
06443-1886
Phone Number
203-530-8862
Fax Number
203-530-8862

License Information

License Number
001446
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Connie R Fanelli, PHD?

The NPI number of Dr. Connie R Fanelli, PHD is 1518067313. It was assigned on September 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Connie R Fanelli, PHD?

Dr. Connie R Fanelli, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 001446.

Where does Dr. Connie R Fanelli, PHD practice?

The practice location is 32 Copperfield Dr, Madison, CT 06443-1886. The office can be reached at 203-530-8862 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518067313 directly on the NPPES registry website.

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