George Feden, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071004362 Issued in IL

Practice address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Phone

(210) 539-9567

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• George Feden, PHD

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1427254010
  NPD (past) Authorized official
• Khadija Khan MDSC

  • Child & Adolescent Psychiatry Physician
  • Oak Brook, IL
  • NPI 1831829126
  NPD (past)
• Oakbrook Behavioral Health LTD

  • Psychiatry Physician
  • Downers Grove, IL
  • NPI 1235235730
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1740295286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 BEAVER DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639784",
            "telephone_number": "630-579-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-539-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDEN",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091880",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B INDIANA",
            "identifier": "250330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moronkeji Fapohunda
• Cayla Fappiano, MD
• Douglas Farmer, M.D.
• Kimberly Tillman Faulk, AGACNP-BC
• Natasha Simone Featherstone, MD
• Terrance T Fee, DPT, OCS
• Kayla Felderhoff Patterson
• Joshua Fenderson, M.D.
• Stacy Lynn Fennell, D.O.
• Emilio Fentanes, M.D.

• Clinical Psychologist in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.