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DR. JESSICA FAGEN PSYD
NPI 1528549508
Psychologist - Clinical in New York, NY

Active since August 27, 2018PECOS EnrolledAccepts Medicare Assignment
141 E 55TH ST APT 3D, NEW YORK, NY 10022(516) 728-5246 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 20, 2021, Aug 27, 2018 (2 updates tracked since 2018).

About Dr. Jessica Fagen Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSICA FAGEN PSYD (NPI 1528549508) is an individual clinical provider in New York, New York, licensed in New York (022717) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1528549508
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JESSICA FAGENCredential: PSYD
Location Address141 E 55TH ST APT 3DNew York, NY 10022-4050
Mailing Address28 Hoyts LnBedford Corners, NY 10549-4856 · (516) 728-5246
Phone(516) 728-5246
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 27, 2018
Last NPPES UpdateOctober 20, 20212 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
✔ NPI 1528549508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 022717
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
141 E 55TH ST APT 3D, New York, NY 10022
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jessica Fagen Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870845647
PECOS Enrollment IDI20181004002461
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Fagen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Iospa Psychiatry Consulting, P.C.
0.7 mi
Psychiatry
25 W 43RD ST STE 714
New York, NY 10036
  • Reassigned Medicare billing, New York enrollment
  • 18 clinicians in this Medicare group
NPI 1154597219 (646) 383-7575

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Fagen's NPI number?

The NPI number for Jessica Fagen is 1528549508. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Where is Jessica Fagen located?

Jessica Fagen practices at 141 E 55th St Apt 3D, New York, NY 10022. The listed phone number is (516) 728-5246.

What is Jessica Fagen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jessica Fagen enrolled in Medicare?

Yes. Jessica Fagen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jessica Fagen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Fagen reassigns Medicare benefits to Dr. Iospa Psychiatry Consulting, P.C. (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Fagen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Fagen was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.