Active NPI
Frederick I Warshall, PH.D
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1932149333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 009598
- Practice address
- 525 E 18TH St
Brooklyn, NY 11226-6703 - Phone
- (718) 284-8390
- Fax
- (718) 284-8390
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 009598 | NY | Primary |
Addresses
Primary practice location
525 E 18TH St
Brooklyn, NY 11226-6703
Mailing address
525 E. 18TH. St.
Brooklyn, NY 11226
Phone (718) 284-8390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01695909 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009598 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255046400000",
"number": "1932149333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E. 18TH. ST.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11226",
"telephone_number": "718-284-8390",
"fax_number": "718-284-8390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 18TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112266703",
"telephone_number": "718-284-8390",
"fax_number": "718-284-8390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARSHALL",
"first_name": "FREDERICK",
"middle_name": "I",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2009-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "009598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01695909",
"state": "NY"
}
],
"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 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.