Individual provider Active NPI

Fabrice Nye, PH.D.

  • Psychologist
  • Redwood City, CA
National Provider Identifier
1407105257
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
503 Seaport CT Ste 104
Redwood City, CA 94063-5566
Phone
(650) 262-5582
Fax
(650) 261-9181
NPI assigned
Sep 6, 2012
Last updated
Feb 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

503 Seaport CT Ste 104
Redwood City, CA 94063-5566

Mailing address

503 Seaport CT
Suite 104
Redwood City, CA 94063-2735
Phone (650) 262-5582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150113002530 CA Practitioner - Clinical Psychologist 0547584997 Practice locations: Redwood City, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

503 Seaport CT
Redwood City, CA 94063-5566
Phone (650) 262-5582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1407105257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 SEAPORT CT",
            "address_2": "SUITE 104",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632735",
            "telephone_number": "650-262-5582",
            "fax_number": "650-261-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 SEAPORT CT STE 104",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940635566",
            "telephone_number": "650-262-5582",
            "fax_number": "650-261-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYE",
        "first_name": "FABRICE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.