Active NPIIndividual providerSole proprietor

Dr. Mark J Gang, PHD

Psychologist in Fairfield, Connecticut

NPI Number1588684427
Practice location
2228 Black Rock Tpke, Suite 310, Fairfield, CT 06825-3237
Fax
203-336-4265
Last updated
July 8, 2007

Mark Jay Gang is a Psychologist based in Fairfield, CT. Mark Jay Gang practices in Fairfield, CT and has the professional credentials of PHD. The NPI Number for Mark Jay Gang is 1588684427 and holds a License No. 562 (CT). The current practice location address for Mark Jay Gang is 2228 Black Rock Tpke, Suite 310, Fairfield, CT 06825-3237 and can be reached out via phone at 203-336-4264 and via fax at 203-336-4265.

Provider Profile Details

NPI Number
1588684427
Provider Name
Mark Jay Gang
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2228 Black Rock Tpke, Suite 310, Fairfield, CT 06825-3237
Phone Number
203-336-4264
Fax Number
203-336-4265
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 21, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2228 Black Rock Tpke
Suite 310
Fairfield, CT 06825-3237
Zip
06825-3237
Phone Number
203-336-4264
Fax Number
203-336-4265
Fairfield, CT 06825Get directions →

Provider Business Mailing Address Details

Address
2228 Black Rock Tpke
Suite 310
Fairfield, CT 06825-3237
City
Fairfield
State
CT
Zip
06825-3237
Phone Number
203-336-4264
Fax Number
203-336-4265

License Information

License Number
562
License State
CT
Taxonomy
Psychologist · 103T00000X · 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. Mark J Gang, PHD?

The NPI number of Dr. Mark J Gang, PHD is 1588684427. It was assigned on July 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark J Gang, PHD?

Dr. Mark J Gang, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in CT under license number 562.

Where does Dr. Mark J Gang, PHD practice?

The practice location is 2228 Black Rock Tpke, Suite 310, Fairfield, CT 06825-3237. The office can be reached at 203-336-4264 (phone) or 203-336-4265 (fax).

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 1588684427 directly on the NPPES registry website.

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