Healthcare Provider Details

I. General information

NPI: 1760879837
Provider Name (Legal Business Name): REBECCA FEIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 IMPERIAL AVE
WESTPORT CT
06880-4327
US

IV. Provider business mailing address

27 IMPERIAL AVE
WESTPORT CT
06880-4327
US

V. Phone/Fax

Practice location:
  • Phone: 609-273-3777
  • Fax:
Mailing address:
  • Phone: 609-273-3777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number78218
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number286106
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: