Active NPI
Bryanna Fatigate
- Psychologist
- Brooklyn, NY
National Provider Identifier
1912770033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 72 Maujer St
Brooklyn, NY 11206-1126 - Phone
- (631) 241-3492
- NPI assigned
- Oct 31, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
72 Maujer St
Brooklyn, NY 11206-1126
Mailing address
72 Maujer St
Brooklyn, NY 11206-1126
Phone (631) 241-3492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 23, 2026 through Mar 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1912770033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 MAUJER ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112061126",
"telephone_number": "631-241-3492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 MAUJER ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112061126",
"telephone_number": "631-241-3492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATIGATE",
"first_name": "BRYANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-31",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.