DR. DEREK ALAN FENWICK PSY.D.
NPI 1831797174
Psychologist - Clinical in Hartford, CT

Q: What is Derek Fenwick's NPI number?

The NPI number for Derek Fenwick is 1831797174. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Q: What is Derek Fenwick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derek Fenwick was last updated on January 20, 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.

Active since October 09, 2020PECOS EnrolledAccepts Medicare Assignment

86.41/100

CMS Quality Rating

200 RETREAT AVE, HARTFORD, CT 06106(860) 545-7437(860) 972-5937 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2021, Oct 9, 2020 (2 updates tracked since 2020).

On this page

About Dr. Derek Alan Fenwick Psy.d. NPPES

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

DR. DEREK ALAN FENWICK PSY.D. (NPI 1831797174) is an individual clinical provider in Hartford, Connecticut, licensed in Connecticut (4009) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831797174

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DEREK ALAN FENWICKCredential: PSY.D.

Location Address200 RETREAT AVEHartford, CT 06106-3310

Mailing Address200 Retreat AveHartford, CT 06106-3310 · (860) 545-7437 · Fax (860) 972-5937

Phone(860) 545-7437

Fax(860) 972-5937

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 9, 2020

Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2021

✔ NPI 1831797174 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 · 4009

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.

200 RETREAT AVE, Hartford, CT 06106

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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

Dr. Derek Alan Fenwick Psy.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 ID5193139418

PECOS Enrollment IDI20210128000811

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 06106 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.99

Promoting Interoperability

100

Improvement Activities

Cost

43.03

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.

CAITLIN R RIVAL APRN

Nurse Practitioner (Psychiatric/Mental Health)

200 RETREAT AVE
HARTFORD, CT 06106

Capitol Planning Region (860) 253-5020

AMELIA DONAHOE M.S. CCC-SLP

Speech-Language Pathologist

200 RETREAT AVE
HARTFORD, CT 06106

Capitol Planning Region (207) 504-2161

AMY PAGE APRN

Nurse Practitioner (Psychiatric/Mental Health)

200 RETREAT AVE
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7189

CORRINE VOLLONO

Marriage & Family Therapist

200 RETREAT AVE
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7649

HOWARD J OAKES JR. PSYD

Clinical Neuropsychologist

200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPARTMENT
HARTFORD, CT 06106

Capitol Planning Region (860) 545-2793

J DAANE LOGSDON DO

Psychiatry & Neurology (Psychiatry)

200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7250

MS. DENISE ANN DEMERS L.C.S.W.

Social Worker

200 RETREAT AVE
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7069

DR. CAROLINE ROSE CORRREIA MD

Psychiatry & Neurology (Psychiatry)

200 RETREAT AVE
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7909

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 Derek Fenwick's NPI number?

The NPI number for Derek Fenwick is 1831797174. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Derek Fenwick located?

Derek Fenwick practices at 200 Retreat Ave, Hartford, CT 06106. The listed phone number is (860) 545-7437.

What is Derek Fenwick's specialty?

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

Is Derek Fenwick enrolled in Medicare?

Yes. Derek Fenwick 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.

When was this NPI record last updated?

The NPPES record for Derek Fenwick was last updated on January 20, 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.