Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Daniel Robert Fawcett, NPSTUDENT

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1285416578

Mr. Daniel Robert Fawcett, NPSTUDENT is a Nurse Practitioner in South Orange, New Jersey. Qualified in 2025, 1 year ago. Practices with Elangovan Psychiatric Services PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2023

Practice location Address checks out

400 S Orange Ave
South Orange, NJ 07079-2697
Phone: (973) 761-9000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F407438-01 (NY)

Record details

NPI number1285416578
Entity typeIndividual (Type 1)
GenderMale
Credentials NPSTUDENT
Sole proprietorNo
NPI enumeratedOctober 20, 2023
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Elangovan Psychiatric Services Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in South Orange