Frederick J Wertz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

007465-1 Issued in NY

Practice address

Fordham University
226B Dealy Hall
Bronx, NY 10458

Phone

(718) 817-3778

Fax

(718) 817-3785

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Stephen Reich,PH.D,Psychologist,P.C.

  • Clinical Psychologist
  • New York, NY
  • NPI 1528362274
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427267772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 FARRAGUT AVE",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107064037",
            "telephone_number": "914-478-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FORDHAM UNIVERSITY",
            "address_2": "226B DEALY HALL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "718-817-3778",
            "fax_number": "718-817-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTZ",
        "first_name": "FREDERICK",
        "middle_name": "J",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "007465-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01449774",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Werst, PA
• Christian Wertenbaker, MD
• Naomi Leah Greenfield Wertenteil
• Iris Wertheimer, AU.D.
• Mackenzie Paige Werther
• Lynette Wesley
• Mariel Wesoly, PA-C
• Susan T Wesoly, PA
• Joy Wessman
• West Side Retinal & Ophthalmic Surgery PC

• Clinical Psychologist in Bronx, NY
• Providers in Bronx, 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 Jul 8, 2007; 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.