Active NPI
Emily L Fucheck, PSY.D.
- Clinical Psychologist
- Poughkeepsie, NY
National Provider Identifier
1902067705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 016883-1
- Practice address
- 27 Collegeview Ave
Poughkeepsie, NY 12603-2456 - Phone
- (845) 380-0023
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 016883-1 | NY | Primary |
Addresses
Primary practice location
27 Collegeview Ave
Poughkeepsie, NY 12603-2456
Mailing address
27 Collegeview Ave
Poughkeepsie, NY 12603-2456
Phone (845) 380-0023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016883-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1902067705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 COLLEGEVIEW AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032456",
"telephone_number": "845-380-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 COLLEGEVIEW AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032456",
"telephone_number": "845-380-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUCHECK",
"first_name": "EMILY",
"middle_name": "L",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "016883-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.