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RANDALL R DWENGER MD
NPI 1649291980
Psychiatry & Neurology - Psychiatry in Canaan, CT

Active since July 22, 2006PECOS Enrolled
187 S CANAAN RD, CANAAN, CT 06018(860) 824-1397(888) 690-2727 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Randall R Dwenger Md NPPES

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

RANDALL R DWENGER MD (NPI 1649291980) is an individual psychiatry provider in Canaan, Connecticut, licensed in New York (183297) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1649291980
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameRANDALL R DWENGERCredential: MD
Location Address187 S CANAAN RDCanaan, CT 06018-2544
Mailing Address30 Cedar Crest, Po Box 443Salisbury, CT 06068-0443 · (917) 513-7438 · Fax (888) 690-2727
Phone(860) 824-1397
Fax(888) 690-2727
Sole ProprietorNo
Enumeration DateJuly 22, 2006
Last NPPES UpdateJune 4, 2021
NPPES CertifiedJune 4, 2021
✔ NPI 1649291980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 183297
Definition
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.
187 S CANAAN RD, Canaan, CT 06018
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Secondary Practice Location 1

Location 1423 E 23rd St, Room 2707New York, NY 10010-5011 · Phone (212) 686-7500 ext. 7598 · Fax (212) 951-3356

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall R Dwenger Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06018 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
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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 20

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

EMILY MIDWOOD
Social Worker (Clinical)
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (860) 824-1397
MC2 - HEALTHCARE
Substance Abuse Rehabilitation Facility
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (860) 362-5232
MRS. KATHRYN FITZGERALD LPC
Counselor (Mental Health)
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (860) 824-1397
SHANTHI MOGALI M.D.
Psychiatry & Neurology (Addiction Psychiatry)
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (800) 362-5229
MELISSA DUBE
Counselor
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (860) 824-1397
VITALITY HEALTHCARE LLC
Lodging
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (860) 362-5232
GHOSIA RAQIB LPC
Counselor (Professional)
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (877) 200-0637
MC1 HEALTHCARE
Substance Abuse Rehabilitation Facility
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (860) 824-1397

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 Randall Dwenger's NPI number?

The NPI number for Randall Dwenger is 1649291980. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Randall Dwenger located?

Randall Dwenger practices at 187 S Canaan Rd, Canaan, CT 06018. The listed phone number is (860) 824-1397.

What is Randall Dwenger's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Randall Dwenger enrolled in Medicare?

Yes. Randall Dwenger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randall Dwenger was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.