Edward H Fankhanel, MA, ED.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

993 Issued in PR

Practice address

134 Calle Zambeze
Crown Hills
San Juan, PR 00926-6010

Phone

(787) 754-7213

NPI assigned

Aug 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1154334605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 CALLE ZAMBEZE",
            "address_2": "CROWN HILLS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266010",
            "telephone_number": "787-754-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 CALLE ZAMBEZE",
            "address_2": "CROWN HILLS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266010",
            "telephone_number": "787-754-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANKHANEL",
        "first_name": "EDWARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MA, ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6051",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001578",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Families Planning Association of Puerto Rico
• Family Drug Center Inc
• Family Drug Center Inc
• Family Eyecare
• Family OB-GYN Group PSC
• Rebecca Fantauzzi, M.D.
• Neichma Shakyra Fargas Berrios, M.D.
• Antonio Faria-Bonano, M.A.
• Marlene Amanda Farinacci Vilaro, MD
• Esmirna Yanisel Farington I, MD

• Counseling Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.