Jerry Feist, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000766 Issued in NY

Practice address

109 E Seneca St
Ithaca, NY 14850-4307

Phone

(607) 277-4131

Fax

(607) 387-3625

NPI assigned

Dec 4, 2006

Sex

Male

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629136627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9345 KINGTOWN BEACH RD",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869235",
            "telephone_number": "607-277-4131",
            "fax_number": "607-387-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E SENECA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504307",
            "telephone_number": "607-277-4131",
            "fax_number": "607-387-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIST",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Ali Fedorchak, MS, RDN, CDN
• Rudolph Peter Fedrizzi, MD
• Christine Marie Feely, MPT
• Howard Marvin Feinstein, M.D., PH.D
• Rosalind Feinstein, LCSW
• Tobi B Feldman, MS CCC-SLP
• David M Feldshuh, MD
• David G Fellows, MD
• Joshua Charles Felver, PHD ABPP
• Rachel Aileen Fenner, RN

• Mental Health Counselor in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.