Individual provider Active NPI

Felicia Rozek, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1487772695
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
006750 Issued in NY
Practice address
393 W End Ave
1F
New York, NY 10024-6138
Phone
(212) 873-1803
Fax
(212) 873-1803
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 006750 NY Primary
Clinical Psychologist 103TC0700X 001547 CT

Addresses

Primary practice location

393 W End Ave
1F
New York, NY 10024-6138

Mailing address

8 Buckingham PL
Norwalk, CT 06851-5004
Phone (203) 854-6795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2014 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
006750NYMDClinical Psychologist
1547CTMDOccupational Therapy Assistant
001547CTMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487772695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BUCKINGHAM PL",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515004",
            "telephone_number": "203-854-6795",
            "fax_number": "203-854-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 W END AVE",
            "address_2": "1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246138",
            "telephone_number": "212-873-1803",
            "fax_number": "212-873-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZEK",
        "first_name": "FELICIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006750",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.