Jason R Fredenberg (NPI# 1689688285, PAC ID# 0446142475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1689688285 |
| PAC ID by PECOS | 0446142475 |
| Professional Enrollment ID | I20040325001334 |
| Full Name | Jason R Fredenberg |
| Organization Legal Name | COUNTY OF GREENE |
| Address |
905 Greene County Office Bldg Cairo NY 12413-2868 |
| Phone Number | 5186229163 |
| Gender | M |
| Credential | CP |
| Graduation Year | 2002 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 9133038219 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 905 Greene County Office Bldg, Cairo, NY 12413-2868 | 5186229163 | COUNTY OF GREENE |
| Organization Legal Name | COUNTY OF GREENE |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward D'arcy | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Suzanne M Mesidor | Obstetrics/gynecology | County of Greene | 411 Main St, Suite 300, Catskill, NY 12414-1366 |
| Laura Churchill | Nurse Practitioner | County of Greene | 411 Main St, Suite 300, Catskill, NY 12414-1366 |
| Sara K Kendall | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Laura I Merante | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Amanda E Kistinger | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Darcy A Rossignol | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Aimee L Richards | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Marianne Powers | Nurse Practitioner | County of Greene | 411 Main St, Suite 300, Catskill, NY 12414-1366 |
| Brenda Maccio | Nurse Practitioner | County of Greene | 411 Main St, Suite 300, Catskill, NY 12414-1366 |
| Street Address |
905 GREENE COUNTY OFFICE BLDG |
| City | CAIRO |
| State | NY |
| Zip | 12413-2868 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward D'arcy | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Sara K Kendall | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Laura I Merante | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Amanda E Kistinger | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Darcy A Rossignol | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Aimee L Richards | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Julie M Misiano | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Stacie J Speed | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Margaret M Graham | Nurse Practitioner | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Kelly A Baxter | Nurse Practitioner | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikolay Samedov | Family Medicine | Columbia Memorial Hospital | 4383 Route 23, Cairo, NY 12413-2680 |
| Michael V Macri | Family Medicine | Columbia Memorial Hospital | 4383 Route 23, Cairo, NY 12413-2680 |
| Gleda P Baldini | Family Medicine | Columbia Memorial Hospital | 4383 Route 23, Cairo, NY 12413-2680 |
| Elisabeth W Mckeon | Internal Medicine | Columbia Memorial Hospital | 4383 Route 23, Cairo, NY 12413-2680 |
| Ange M Pompee Synsmir | Nurse Practitioner | Columbia Memorial Hospital | 4383 Route 23, Cairo, NY 12413-2680 |
| Trisha Livermore | Physical Therapy | Lee Physical Therapy and Wellness LLC | 4383 Route 23, Suite 102, Cairo, NY 12413-2681 |
| Katrina Lynn Lee | Physical Therapy | Lee Physical Therapy and Wellness LLC | 4383 Route 23, Suite 102, Cairo, NY 12413-2681 |
| Walter Kendall | Psychologist, Clinical | 12 Mountain Ave, Cairo, NY 12413-2850 | |
| Rowena B Mcdade | Clinical Social Worker | County of Greene | 905 Greene County Office Bldg, Cairo, NY 12413-2868 |
| City | CAIRO |
| Zip Code | 12413 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | CAIRO + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jason R Fredenberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.