Wendy Fader PHD PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY004599 Issued in FL

Legal business name

WENDY FADER PHD PA

Practice address

5295 Town Center Rd
Suite 401
Boca Raton, FL 33486-1080

Phone

(561) 362-5530

Fax

(561) 362-5595

NPI assigned

Aug 28, 2006

Last updated

Jan 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendy Fader, PHD PANPI 1245284603

Title

Pres Psychologist

Phone

(561) 362-5530

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wendy Fader, PHD

  • Psychologist
  • Boca Raton, FL
  • NPI 1245284603
  Authorized official Same address or phone
• David B Miller, PSY D

  • Psychologist
  • Boca Raton, FL
  • NPI 1902851678
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1306954649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 TOWN CENTER RD",
            "address_2": "SUITE 401",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861080",
            "telephone_number": "561-362-5530",
            "fax_number": "561-362-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 TOWN CENTER RD",
            "address_2": "SUITE 401",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861080",
            "telephone_number": "561-362-5530",
            "fax_number": "561-362-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY FADER PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "FADER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRES PSYCHOLOGIST",
        "authorized_official_telephone_number": "561-362-5530",
        "authorized_official_credential": "PHD PA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY004599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "73916",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Welltower Opco Group LLC (Stratford Court of Boca Raton)
• Welltower Opco Group LLC (Brighton Gardens of Boca Raton)
• Daria Wels, PSY.D.
• Ira M. Wendroff
• Wendy E Doran, MD PA
• Wendy Picard, PH.D.
• Wenzel Center for Chiropractic & Alternative Medicine, Inc. (Boca Orthopedic & Chiropractic Associates)
• Wenzel Center for Chiropractic & Alternative Medicine,Inc
• Ira Wenzel, D.C.
• Darah Emily Wenzowski, PA-C

• Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.