DR. JOHN J FERRERA


Address: 65 Broadway, Suite 812, New York, NY 10006-2503
Phone: 9173008006

DR. JOHN J FERRERA (NPI# 1861736092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861736092
Entity Type Individual
Full Name DR. JOHN J FERRERA
Credential PHD
Practice Address 65 Broadway
Suite 812
New York
NY 10006-2503
Mailing Address 1548 64th St
Brooklyn
NY 11219-5730
Practice Telephone 9173008006
Practice Fax Number 9172103184
Mailing Telephone 9179217154
Enumeration Date 2012-11-10
Last Update Date 2013-12-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist 018945 NY Behavioral Health & Social Service Providers
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
018945 NY Behavioral Health & Social Service Providers
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
018945 NY Behavioral Health & Social Service Providers

Office Location

Street Address 65 BROADWAY
SUITE 812
City NEW YORK
State NY
Zip Code 10006-2503

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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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1447648753 Victoria I Phillips Psychologist 10 W 65th St Apt 5d, New York, NY 10023-6639 2015-01-08
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Competitor

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City NEW YORK
Zip Code 10006

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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