Marissa Faas, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

025277 Issued in NY

Practice address

825 Seventh Ave FL 6
New York, NY 10019-6014

Phone

(646) 352-9011

Fax

(917) 464-3662

NPI assigned

Oct 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• New Alternatives for Children Inc.

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1164602397
  Medicare reassignment NPD
• New Alternatives for Children Inc.

  • Clinic/Center
  • New York, NY
  • NPI 1518456110
  NPD (past)
• New Alternatives for Children, Inc.

  • Foster Care Agency
  • New York, NY
  • NPI 1861982860
  NPD (past)
• Petrychenko Physician PC

  • Specialist
  • Brooklyn, NY
  • NPI 1861413981
  NPD (past)

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1265158232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 7TH AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196014",
            "telephone_number": "646-352-9011",
            "fax_number": "917-464-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SEVENTH AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196014",
            "telephone_number": "646-352-9011",
            "fax_number": "917-464-3662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "381 Broadway Apt 4B",
            "address_purpose": "LOCATION",
            "city": "Dobbs Ferry",
            "state": "NY",
            "postal_code": "105221754",
            "country_code": "US",
            "telephone_number": "914-295-2945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAAS",
        "first_name": "MARISSA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02850677",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• F Yuvienco MD PC
• F-Factor
• F. Cecilia Bichara, LCSW PLLC
• F.E.J. Helbig M.D.,F.a.C.S.,P.C.
• F&L Dental 215 PLLC
• Michael Vincent Fabano, LMSW
• Nicola Fabbri
• Andrew Fabel, PA-C
• Ronald Fabello, RPT
• Alexandra Faber

• Clinical Psychologist in New York, NY
• Providers in New York, 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 Sep 9, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.