Antje Fechner, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY16415 Issued in CA

Practice address

4715 Viewridge Ave Ste 230
San Diego, CA 92123-1680

Phone

(800) 257-8715

Fax

(800) 819-1655

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Vericare of California Medical Group

  • Clinical Psychologist
  • Paradise, CA
  • NPI 1316992829
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174635239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 WESLEYAN PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162022",
            "telephone_number": "619-284-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 VIEWRIDGE AVE STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231680",
            "telephone_number": "800-257-8715",
            "fax_number": "800-819-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECHNER",
        "first_name": "ANTJE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY164150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel L Fealy
• Heidi Rose Fearon, L.AC.
• Rebecca Ruth Feasel, REGISTERED NURSE
• Andrew Featherston
• Clifford G. Feaver, D.P.M.
• Veronika Fecik
• Ashley Elizabeth Fecteau, LCSW
• Michael Feder, PH.D.
• Federal Injury Centers
• Chloe Ysabel Esteban Federe, DMD

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• 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.