Organization Active NPI

Anne Fribourg PC

  • Psychologist
  • New York, NY
National Provider Identifier
1730214123
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6275 Issued in NY
Legal business name
ANNE FRIBOURG PC
Practice address
212 W 91St St Apt 1223
New York, NY 10024-1363
Phone
(212) 362-7116
NPI assigned
Feb 23, 2007
Last updated
Jun 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Authorized official

Name
Dr. Anne FribourgNPI 1992830384
Title
President
Phone
(212) 362-7116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6275 NY Primary

Addresses

Primary practice location

212 W 91St St Apt 1223
New York, NY 10024-1363

Mailing address

212 W 91St St Apt 1223
New York, NY 10024-1363
Phone (212) 362-7116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090604000485 NY Part B Supplier - Clinic/Group Practice 4284616665 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1730214123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W 91ST ST APT 1223",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241363",
            "telephone_number": "212-362-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W 91ST ST APT 1223",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241363",
            "telephone_number": "212-362-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE FRIBOURG PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "FRIBOURG",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-362-7116",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "6275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.