DR. DAVID A FAZZARI PH.D.
NPI 1588896609
Psychologist - Clinical in New York, NY
About Dr. David A Fazzari Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID A FAZZARI PH.D. (NPI 1588896609) is an individual clinical provider in New York, New York, licensed in New York (018248) and active in the NPI registry since August 2009. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. David A Fazzari Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2014 through October 1, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 David Fazzari's NPI number?
The NPI number for David Fazzari is 1588896609. It was assigned to this individual provider in the NPPES registry on August 24, 2009.
Where is David Fazzari located?
David Fazzari practices at 19 W 34th St Penthouse Suite, New York, NY 10001. The listed phone number is (212) 714-7025.
What is David Fazzari's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is David Fazzari enrolled in Medicare?
No. David Fazzari has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for David Fazzari was last updated on August 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. David A Fazzari, PH.D. · NPI 1588896609
Clinical provider in New York, New York. Individual provider, active in the CMS NPPES registry since August 24, 2009.
## Identity
- **NPI:** 1588896609 (Entity type: Individual)
- **Enumerated:** August 24, 2009
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 018248 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 19 W 34TH ST, PENTHOUSE SUITE, New York, NY 10001-3006
- **Phone:** (212) 714-7025
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** August 24, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1588896609) · Data from the CMS NPPES public registry.