Daniel Lee Fudge, PH.D.
NPI 1023139227ActiveIndividual· Psychologist, Clinical· Hamden, CT
Psychologist, Clinical (PH.D.) in Hamden, Connecticut, trained at University of Tennessee, Hsc, College of Medicine (class of 2007). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1023139227 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Apr 3, 2007 |
| Last updated in NPPES | May 6, 2024 |
| Certified by provider | May 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 3314 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CT) |
|---|
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 2007 |
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Behavioral Health Consultants, LLCHamden, CT · 4 clinicians
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All 21 clinical psychologists in Hamden · All clinical psychologists in Connecticut