Individual provider Active NPI

Faye F. Walkenfeld, PHD

  • Psychologist
  • Far Rockaway, NY
National Provider Identifier
1164058699
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
015750 Issued in NY
Practice address
1010 Dickens St
Far Rockaway, NY 11691-2407
Phone
(347) 225-1603
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 015750 NY Primary

Addresses

Primary practice location

1010 Dickens St
Far Rockaway, NY 11691-2407

Mailing address

1010 Dickens St
Far Rockaway, NY 11691-2407
Phone (347) 225-1603

Other practice location 1

1416 48th St
Brooklyn, NY 11219-3243
Phone (347) 225-1603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
015750NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1164058699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 DICKENS ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912407",
            "telephone_number": "347-225-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 DICKENS ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912407",
            "telephone_number": "347-225-1603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1416 48th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112193243",
            "country_code": "US",
            "telephone_number": "347-225-1603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKENFELD",
        "first_name": "FAYE",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.