Forebrain PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

011416 Issued in NY

Legal business name

FOREBRAIN PLLC

Practice address

7917 18TH Ave
Brooklyn, NY 11214-1703

Phone

(917) 922-1751

NPI assigned

May 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alan Fried, PHDNPI 1699729905

Title

Supervising Psychologist

Phone

(917) 922-1751

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan Fried, PHD

  • Psychologist
  • Brooklyn, NY
  • NPI 1699729905
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033161104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CHARLES ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142750",
            "telephone_number": "212-620-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7917 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141703",
            "telephone_number": "917-922-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREBRAIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "SUPERVISING PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-922-1751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02742978",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Forde
• Natifia Forde, LCSW
• Suzanne Cassandra Forde, PA-C
• Rosemary Fordjour, PMHNP-BC
• Samuel Bytnar Fordyce, MD
• Forefront Behavioral Medicine, P.C.
• Forefront Dermatology - East Professional, LLC (Forefront Dermatology)
• Malika Foreman, LMSW
• Juan Forero
• Ruth M. Forero, PH.D.

• Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.