Active NPI
Saralie Faivelson, PHD
- Psychologist
- Brooklyn, NY
National Provider Identifier
1235220005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 018449-1
- Practice address
- 685 E 5TH St
Brooklyn, NY 11218-5806 - Phone
- (718) 339-0759
- NPI assigned
- Sep 27, 2006
- Last updated
- Nov 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 018449-1 | NY | Primary |
Addresses
Primary practice location
685 E 5TH St
Brooklyn, NY 11218-5806
Mailing address
1530 East 8TH Street #4G
Brooklyn, NY 11230
Phone (718) 339-0759
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
| License | State | Type | Specialty |
|---|---|---|---|
| 018449-1 | NY | MD | Orthopedic Physical Therapist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- saralie.faivelson.p1@direct.ezramedical.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1235220005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 EAST 8TH STREET #4G",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11230",
"telephone_number": "718-339-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 E 5TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112185806",
"telephone_number": "718-339-0759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIVELSON",
"first_name": "SARALIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018449-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.