Individual provider Active NPI

Ann Fenichel, PH.D.

  • Counseling Psychologist
  • Hastings on Hudson, NY
National Provider Identifier
1497835524
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
104160-1 Issued in NY
Practice address
50 Farragut Ave
Hastings on Hudson, NY 10706-2305
Phone
(914) 374-6359
Fax
(914) 478-3896
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 104160-1 NY Primary

Addresses

Primary practice location

50 Farragut Ave
Hastings on Hudson, NY 10706-2305

Mailing address

18 Olinda Ave
Hastings on Hudson, NY 10706-2312
Phone (914) 374-6359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040329001665 NY Practitioner - Clinical Psychologist 5294627634 Practice locations: Hastings on Hudson, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

50 Farragut Ave
Hastings on Hudson, NY 10706-2305
Phone (914) 374-6359

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104160-1NYMDCounseling Psychologist
014160NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Psychological Services PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1497835524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OLINDA AVE",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107062312",
            "telephone_number": "914-374-6359",
            "fax_number": "914-478-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FARRAGUT AVE",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107062305",
            "telephone_number": "914-374-6359",
            "fax_number": "914-478-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENICHEL",
        "first_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "104160-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings on Hudson, NY

Sources for this page

Verify at the official NPI Registry.