Fenton Psychological Services P. C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

FENTON PSYCHOLOGICAL SERVICES P. C.

Practice address

301 Oakford St
West Hempstead, NY 11552-3255

Phone

(516) 253-5633

NPI assigned

Mar 6, 2022

Last updated

Mar 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brocha Fenton, PSYDNPI 1275284135

Title

Owner

Phone

(516) 253-5633

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brocha Fenton, PSYD

  • Clinical Psychologist
  • West Hempstead, NY
  • NPI 1275284135
  NPD Authorized official

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

{
    "created_epoch": "1646524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646524800000",
    "number": "1184371510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 354",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115520354",
            "telephone_number": "516-253-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OAKFORD ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523255",
            "telephone_number": "516-253-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENTON PSYCHOLOGICAL SERVICES P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-06",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "BROCHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-253-5633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Farella, LMT
• Gina Fassino, COTA/L
• Heather Feldman
• Ian Feldman, MSPT
• Garrio Fenelon
• Brocha Fenton, PSYD
• Christine T Fernandez, L.M.T.
• John Filippelli II, LMSW
• Betty Jane Fink, R.N.
• Fitness and Function Physical Therapy

• Clinical Psychologist in West Hempstead, NY
• Providers in West Hempstead, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; 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.