| The Waynik Group | |
|
52 Beach Rd Suite 104 Fairfield CT 06824 | |
| (203) 254-2000 | |
| (203) 255-3126 |
| Full Name | The Waynik Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 52 Beach Rd, Fairfield, Connecticut |
| Authorized Official Name and Position | Mark Waynik (PRESIDENT) |
| Authorized Official Contact | 2032542000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Waynik Group 52 Beach Rd Suite 104 Fairfield CT 06824 Ph: (203) 254-2000 | The Waynik Group 52 Beach Rd Suite 104 Fairfield CT 06824 Ph: (203) 254-2000 |
| NPI Number | 1467675850 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 09/17/2010 |
| Medicare PECOS PAC ID | 8921198193 |
|---|---|
| Medicare Enrollment ID | O20140808000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467675850 | NPI | - | NPPES |
| 1467675850 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
| Provider Name | Laura E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518911387 PECOS PAC ID: 3971574039 Enrollment ID: I20040803000459 |
| Provider Name | Jay K Berkowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255382396 PECOS PAC ID: 4688622319 Enrollment ID: I20050110000231 |
| Provider Name | Sara Niego |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730193814 PECOS PAC ID: 8123058294 Enrollment ID: I20060921000112 |
| Provider Name | David J. Barth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538281670 PECOS PAC ID: 7810093044 Enrollment ID: I20070505000031 |
| Provider Name | Mark Waynik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588738256 PECOS PAC ID: 7012007297 Enrollment ID: I20090820000040 |
| Provider Name | Howard K Weiner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891787859 PECOS PAC ID: 9234105958 Enrollment ID: I20100506000449 |
| Provider Name | Robyn B Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285783456 PECOS PAC ID: 1759561152 Enrollment ID: I20110202000000 |
| Provider Name | Gale a Levin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679508469 PECOS PAC ID: 0749464980 Enrollment ID: I20110412000748 |
| Provider Name | Owen Bennet Schneider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184798852 PECOS PAC ID: 3173613353 Enrollment ID: I20110504000004 |
| Provider Name | Gayle D Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700925450 PECOS PAC ID: 6305021387 Enrollment ID: I20110506000705 |
| Provider Name | Barry I Kerner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205059417 PECOS PAC ID: 7719146554 Enrollment ID: I20120524000416 |
| Provider Name | Maurice E Bunnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194053777 PECOS PAC ID: 7719205525 Enrollment ID: I20150407001552 |
| Provider Name | Justin C Barsanti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801945928 PECOS PAC ID: 4688966906 Enrollment ID: I20160707000585 |
| Provider Name | Jordan Jacob Marcou |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154834786 PECOS PAC ID: 7719247113 Enrollment ID: I20180202001722 |
| Provider Name | Jean Gauvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689801912 PECOS PAC ID: 6002066909 Enrollment ID: I20180423000432 |
| Provider Name | Christina Marie Giacobbe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942517081 PECOS PAC ID: 5799038444 Enrollment ID: I20181025001462 |
| Provider Name | Marina Mathew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285085886 PECOS PAC ID: 4183057276 Enrollment ID: I20191203002483 |
| Provider Name | Frank James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881798437 PECOS PAC ID: 8729063276 Enrollment ID: I20200521002057 |
| Provider Name | Jagdish Bathija |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558416602 PECOS PAC ID: 8022309442 Enrollment ID: I20210902000912 |
| Provider Name | Susan Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205418498 PECOS PAC ID: 0446657597 Enrollment ID: I20210916001859 |
| Provider Name | Emma Cianci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427799105 PECOS PAC ID: 9032594627 Enrollment ID: I20220919000358 |
| Provider Name | Poornima Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285343921 PECOS PAC ID: 1658734470 Enrollment ID: I20230828001036 |
| Provider Name | Ashley Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386232544 PECOS PAC ID: 2365984127 Enrollment ID: I20240607001198 |
| Provider Name | Michael Vincent Pinter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306473970 PECOS PAC ID: 3971928508 Enrollment ID: I20240823002730 |
| Provider Name | Christina Krasnavage |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669190401 PECOS PAC ID: 4789112772 Enrollment ID: I20250103000916 |
| Provider Name | Christian Sye |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457226912 PECOS PAC ID: 0042704462 Enrollment ID: I20251212002612 |
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