Active NPI
Nadine Feneck Case, PHD
- Clinical Psychologist
- Saranac Lake, NY
National Provider Identifier
1245337195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 006604-1
- Practice address
- 43 Broadway
Suite 205
Saranac Lake, NY 12983-1718 - Phone
- (518) 891-3053
- Fax
- (518) 891-3053
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 006604-1 | NY | Primary |
Addresses
Primary practice location
43 Broadway
Suite 205
Saranac Lake, NY 12983-1718
Mailing address
43 Broadway
Suite 205
Saranac Lake, NY 12983-1718
Phone (518) 891-3053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00638784 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 4, 2023 through Oct 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006604-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245337195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 BROADWAY",
"address_2": "SUITE 205",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129831718",
"telephone_number": "518-891-3053",
"fax_number": "518-891-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 BROADWAY",
"address_2": "SUITE 205",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129831718",
"telephone_number": "518-891-3053",
"fax_number": "518-891-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASE",
"first_name": "NADINE",
"middle_name": "FENECK",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "006604-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00638784",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saranac Lake, NY
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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.