Active NPI
Marshall S Fenster, PSY.D.
- Psychologist
- Boca Raton, FL
National Provider Identifier
1245328046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY4991
- Practice address
- 7301 W Palmetto Park Rd
Suite 208-a
Boca Raton, FL 33433-3458 - Phone
- (561) 395-4422
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY4991 | FL | Primary |
| Psychologist | 103T00000X | 011658-1 | NY |
Addresses
Primary practice location
7301 W Palmetto Park Rd
Suite 208-a
Boca Raton, FL 33433-3458
Mailing address
7301 W Palmetto Park Rd
Suite 208-a
Boca Raton, FL 33433-3458
Phone (561) 395-4422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070405000153 | FL | Practitioner - Clinical Psychologist | 8224132964 | Practice locations: Boca Raton, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7301 W Palmetto Park Rd
Suite 208a
Boca Raton, FL 33433-3456
Phone (561) 395-4422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY4991 | FL | MD | Psychologist |
| 011658-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245328046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 W PALMETTO PARK RD",
"address_2": "SUITE 208-A",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333458",
"telephone_number": "561-395-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 W PALMETTO PARK RD",
"address_2": "SUITE 208-A",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333458",
"telephone_number": "561-395-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENSTER",
"first_name": "MARSHALL",
"middle_name": "S",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY4991",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "011658-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.