Individual provider Active NPI

Janina Fendya, PSY.D.

  • Clinical Psychologist
  • Bryn Mawr, PA
National Provider Identifier
1245488972
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017121 Issued in PA
Practice address
14 S Bryn Mawr Ave
Suite 205
Bryn Mawr, PA 19010-3216
Phone
(610) 525-4828
NPI assigned
Sep 6, 2008
Last updated
Jul 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Psychologist 103TC0700X PS017121 PA Primary

Addresses

Primary practice location

14 S Bryn Mawr Ave
Suite 205
Bryn Mawr, PA 19010-3216

Mailing address

14 S Bryn Mawr Ave
Suite 205
Bryn Mawr, PA 19010-3216
Phone (610) 525-4828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS017121PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley C Norford PHD PC Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1245488972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S BRYN MAWR AVE",
            "address_2": "SUITE 205",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103216",
            "telephone_number": "610-525-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S BRYN MAWR AVE",
            "address_2": "SUITE 205",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103216",
            "telephone_number": "610-525-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENDYA",
        "first_name": "JANINA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-06",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.