Frederick Penzel, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

008782-1 Issued in NY

Practice address

755 New York Ave
Suite 200
Huntington, NY 11743-4240

Phone

(631) 351-1729

Fax

(631) 424-4041

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Barbara a. Romano, PH.D., Psychologist, P.C.

  • Clinical Psychologist
  • Huntington, NY
  • NPI 1588992002

  Clinical

  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124180161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAURICE LN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431843",
            "telephone_number": "631-385-0065",
            "fax_number": "631-424-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434240",
            "telephone_number": "631-351-1729",
            "fax_number": "631-424-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENZEL",
        "first_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008782-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pederson-Krag Center Inc
• Christa Pellegrino, PT
• Stacy Danielle Pelofsky, M.A., CCC-SLP
• Susan M Penders, RN
• Jocelyn Marie Pensa
• Wendy R. Penzel, PSY.D.
• Gina Penzi Luxemberg, D.O.
• Carmelina Peralta, PHD
• Luz M Peralta, DNP
• Andrew L Peredo, MD

• All providers in Huntington, NY
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.