Active NPI
Fredelyn Damari
- Psychologist
- Bronx, NY
National Provider Identifier
1629407432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 008379-1
- Practice address
- 3250 Westchester Ave
Bronx, NY 10461-4500 - Phone
- (718) 414-2601
- Fax
- (718) 863-2360
- NPI assigned
- Nov 2, 2013
- Last updated
- Nov 2, 2013
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 008379-1 | NY | Primary |
Addresses
Primary practice location
3250 Westchester Ave
Bronx, NY 10461-4500
Mailing address
106 Rector CT
Bergenfield, NJ 07621-4221
Phone (201) 218-6354
Other names 1
- Dr. Fredelyn Engelberg
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 |
|---|---|---|---|
| 008379-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383350400000",
"number": "1629407432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 RECTOR CT",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076214221",
"telephone_number": "201-218-6354",
"fax_number": "201-384-5494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 WESTCHESTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104614500",
"telephone_number": "718-414-2601",
"fax_number": "718-863-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMARI",
"first_name": "FREDELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-02",
"last_updated": "2013-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "008379-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FREDELYN",
"last_name": "ENGELBERG",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bronx, NY
- Alana Marie Daly
- Nikki Blake Daly, MS, CCC-SLP, TSSLD
- Yvonne M Daly, LCSW
- Henry Dama
- Dushyant Rajendraprasad Damania, MBBS
- James Damascus, D.D.S.
- Joy Damhir
- Damian Family Care Centers, Inc. (Project Samaritan Health Services)
- Damian Family Care Centers, Inc. (Project Samaritan Health Services)
- Damian Family Care Centers, Inc. (Project Samaritan Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.