Organization Active NPI

Marnie Fegan, Psy.D., P.C.

  • Clinical Psychologist
  • Red Bank, NJ
National Provider Identifier
1659814853
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00391500 Issued in NJ
Legal business name
MARNIE FEGAN, PSY.D., P.C.
Practice address
272 Broad St
2ND Floor
Red Bank, NJ 07701-2044
Phone
(732) 747-7665
Fax
(732) 747-6444
NPI assigned
Nov 21, 2016
Last updated
Nov 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Dr. Marnie Ann Fegan, PSY.D.NPI 1720293574
Title
Clinical Psychologist/Supervisor
Phone
(732) 747-7765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 35SI00391500 NJ Primary

Addresses

Primary practice location

272 Broad St
2ND Floor
Red Bank, NJ 07701-2044

Mailing address

272 Broad St
2ND Floor
Red Bank, NJ 07701-2044
Phone (732) 747-7665

National Provider Directory

National Provider Directory

Locations

272 Broad St
Ste 2
Red Bank, NJ 07701
Phone (732) 747-3663

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1659814853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 BROAD ST",
            "address_2": "2ND FLOOR",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012044",
            "telephone_number": "732-747-7665",
            "fax_number": "732-747-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 BROAD ST",
            "address_2": "2ND FLOOR",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012044",
            "telephone_number": "732-747-7665",
            "fax_number": "732-747-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARNIE FEGAN, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "FEGAN",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/SUPERVISOR",
        "authorized_official_telephone_number": "732-747-7765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00391500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.