Diane Ferber

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2586 Issued in CT

Practice address

4699 Main St Ste 210
Bridgeport, CT 06606-1830

Phone

(203) 208-3940

NPI assigned

Apr 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Jewish Family Service of Stamford, Inc.Group PAC ID 9335124361, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jewish Family Service of Stamford, Inc.

  • Clinical Social Worker
  • Stamford, CT
  • NPI 1346291861

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD
• Redeem Wellness Center, LLC

  • Mental Health Counselor
  • Bridgeport, CT
  • NPI 1144876392

  Marriage & Family Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1386225092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FOREST ST APT 1017",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011871",
            "telephone_number": "203-253-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 MAIN ST STE 210",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061830",
            "telephone_number": "203-208-3940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 High Ridge Road",
            "address_2": "Humanly Suite",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "06905",
            "country_code": "US",
            "telephone_number": "203-403-2089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERBER",
        "first_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tizita Fekredengel
• Carol Felder, DENTIST
• Kethlene Felicantorres, LMSW
• Alicia Wendy Feller, LCSW
• Carmen Felo, LPN
• Charlene Altagracia Fermin, MD
• Alicia W Fernandes, LMSW
• John Fernandes Jr., MSW, LMSW
• Ximena Pia Fernandez Lango, MD
• Bianca Celyn Fernandez, OTR/L

• Marriage & Family Therapist in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.

Verify at the official NPI Registry.