Active NPI
Jeffrey M Feinman, PH.D.
- Psychologist
- Wappingers Falls, NY
National Provider Identifier
1447245428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- #5597
- Practice address
- 10 Ada Dr
Wappingers Falls, NY 12590-4932 - Phone
- (845) 298-0605
- NPI assigned
- Sep 15, 2005
- Last updated
- Jan 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | #4147 | NY | |
| Psychologist | 103T00000X | #5597 | NY | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Counseling Psychologist | 103TC1900X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X |
Addresses
Primary practice location
10 Ada Dr
Wappingers Falls, NY 12590-4932
Mailing address
PO Box 504
Fishkill, NY 12524-0504
Phone (845) 298-0605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01623216 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #4147 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| #5597 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry and Psychotherapy Practice P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- New York, NY
- NPI 1548298508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1447245428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 504",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125240504",
"telephone_number": "845-298-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ADA DR",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125904932",
"telephone_number": "845-298-0605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEINMAN",
"first_name": "JEFFREY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "#4147",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "#5597",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01623216",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wappingers Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.