Guity Fazelpoor, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100362200 Issued in NJ

Practice address

246 Edison St
Clifton, NJ 07013-1358

Phone

(973) 904-0499

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St. Joseph'S Healthcare, Inc.

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1497791297
  Medicare reassignment NPD
• Claire Vernaleken PHD

  • Clinical Psychologist
  • Woodland Park, NJ
  • NPI 1861712986
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801829064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 EDISON ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131358",
            "telephone_number": "973-904-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 EDISON ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131358",
            "telephone_number": "973-904-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZELPOOR",
        "first_name": "GUITY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100362200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shafeeka Farsakh, MS-CCC-SLP
• Fastclinics NA LLC
• Fastmed of NJ LLC
• George Fattal
• Majedah Fayed, OPTICIAN
• Allyson Feinstein, LCSW
• Alexia Feldman
• Kim Elizabeth Fenesy, D.M.D.
• Lisa Marie Ference, DMD
• Tashonda Ferguson, PTA

• Clinical Psychologist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.