Active NPI
Anne Fribourg PC
- Psychologist
- New York, NY
National Provider Identifier
1730214123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6275
- 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, 2019
- 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. Anne Fribourg
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychologist
- New York, NY
- NPI 1992830384
-
- Clinical Neuropsychologist
- New York, NY
- NPI 1447458179
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.