Active NPI
Marie A Felberg, PSY.D
- Clinical Psychologist
- Redwood City, CA
National Provider Identifier
1457620726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24529
- Practice address
- 61 Renato CT
Suite 14
Redwood City, CA 94061-4093 - Phone
- (650) 416-6463
- Fax
- (650) 475-7057
- NPI assigned
- Dec 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 24529 | CA | Primary |
Addresses
Primary practice location
61 Renato CT
Suite 14
Redwood City, CA 94061-4093
Mailing address
274 Redwood Shores Pkwy
#520
Redwood City, CA 94065-1173
Phone (650) 416-6463
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24529 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1457620726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 REDWOOD SHORES PKWY",
"address_2": "#520",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940651173",
"telephone_number": "650-416-6463",
"fax_number": "650-475-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 RENATO CT",
"address_2": "SUITE 14",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940614093",
"telephone_number": "650-416-6463",
"fax_number": "650-475-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELBERG",
"first_name": "MARIE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-15",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "24529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.