Individual provider Active NPI

Jennifer Fetner Saba, PH.D.

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1174805451
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
015855 Issued in NY
Practice address
108 Berkeley PL
Brooklyn, NY 11217-3604
Phone
(917) 589-5929
NPI assigned
Sep 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 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 015855 NY Primary

Addresses

Primary practice location

108 Berkeley PL
Brooklyn, NY 11217-3604

Mailing address

108 Berkeley PL
Brooklyn, NY 11217-3604
Phone (718) 594-0021

Other names 1

  • Ms. Jennifer Alyse Fetner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Family Care Center, Inc. CurrentSince Nov 10, 2018 Accepting new patients
Urban Strategies Brookdale Family Care Center Inc CurrentSince Feb 6, 2019 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Nov 10, 2018 Accepting new patients

Locations

465 New Lots Ave
Brooklyn, NY 11207
Phone (718) 240-5133

1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1174805451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BERKELEY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173604",
            "telephone_number": "718-594-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BERKELEY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173604",
            "telephone_number": "917-589-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABA",
        "first_name": "JENNIFER",
        "middle_name": "FETNER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FETNER",
            "middle_name": "ALYSE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.