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DANIEL LEE FUDGE PH.D.
NPI 1023139227
Psychologist - Clinical in Hamden, CT

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
2319 WHITNEY AVE STE 5D, HAMDEN, CT 06518(203) 288-2554(203) 248-3690 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 6, 2024, May 5, 2024 (2 updates tracked since 2024).

About Daniel Lee Fudge Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL LEE FUDGE PH.D. (NPI 1023139227) is an individual clinical provider in Hamden, Connecticut, licensed in Connecticut (3314) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2007).

NPPES Registry Identity

NPI1023139227
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDANIEL LEE FUDGECredential: PH.D.
Location Address2319 WHITNEY AVE STE 5DHamden, CT 06518-3534
Mailing Address2319 Whitney Ave Ste 5dHamden, CT 06518-3534 · (203) 288-3554 · Fax (203) 248-3690
Phone(203) 288-2554
Fax(203) 248-3690
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2007
Enumeration DateApril 3, 2007
Last NPPES UpdateMay 6, 20242 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1023139227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CT · 3314
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2319 WHITNEY AVE STE 5D, Hamden, CT 06518
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Lee Fudge Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214101245
PECOS Enrollment IDI20150811003653
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06518 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEHAVIORAL HEALTH CONSULTANTS, LLC
Psychologist
2319 WHITNEY AVE STE 5D
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 288-3554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Fudge's NPI number?

The NPI number for Daniel Fudge is 1023139227. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Daniel Fudge located?

Daniel Fudge practices at 2319 Whitney Ave Ste 5D, Hamden, CT 06518. The listed phone number is (203) 288-2554.

What is Daniel Fudge's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Daniel Fudge enrolled in Medicare?

Yes. Daniel Fudge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Daniel Fudge accept?

Health plans from Providence Health Plan list Daniel Fudge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Fudge was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.