Rebecca Fontanetta

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

022179 Issued in NY

Practice address

755 New York Ave Ste 230
Huntington, NY 11743-4285

Phone

(631) 505-3671

NPI assigned

Jan 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fontanetta Neuropsychology PLLC

  • Developmental Disabilities Clinic/Center
  • Huntington, NY
  • NPI 1902430200
  NPD Authorized official

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1619508892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HENNESSEY DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE STE 230",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434285",
            "telephone_number": "631-505-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANETTA",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "022179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Ann Flynn, LMHC
• Eugene T Foley, LCSW
• Stephanie Foley, MS PT
• Marie J Fond-Rose
• Fontanetta Neuropsychology PLLC
• Floyd Forbes, MD
• Andrew Forelli, DC
• Forma Surgical PC
• Thomas Forte, PSY.D.
• Elizabeth Jean Foster

• Clinical Neuropsychologist in Huntington, NY
• Providers in Huntington, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.