Active NPI
Marnie Fegan, Psy.D., P.C.
- Clinical Psychologist
- Red Bank, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00391500
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Red Bank, NJ
- NPI 1720293574
-
- Professional Counselor
- Red Bank, NJ
- NPI 1639612203
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.