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THEODORE HENDRICKSON
NPI 1699336073
Nurse Practitioner - Psychiatric/Mental Health in Fairfield, CT

Active since June 26, 2019
43 ROBERT LN, FAIRFIELD, CT 06824(203) 209-2180 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Theodore Hendrickson NPPES

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

THEODORE HENDRICKSON (NPI 1699336073) is an individual psychiatric/mental health provider in Fairfield, Connecticut, licensed in Connecticut (102729) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1699336073
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTHEODORE HENDRICKSON
Location Address43 ROBERT LNFairfield, CT 06824-2918
Mailing Address43 Robert LnFairfield, CT 06824-2918 · (203) 209-2180
Phone(203) 209-2180
Sole ProprietorNo
Enumeration DateJune 26, 2019
✔ NPI 1699336073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 102729
43 ROBERT LN, Fairfield, CT 06824
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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 Theodore Hendrickson's NPI number?

The NPI number for Theodore Hendrickson is 1699336073. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Theodore Hendrickson located?

Theodore Hendrickson practices at 43 Robert Ln, Fairfield, CT 06824. The listed phone number is (203) 209-2180.

What is Theodore Hendrickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Theodore Hendrickson was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.