DR. JENNIFER ROSE FERETIC PSY.D.
NPI 1649561184
Psychologist in Staten Island, NY

Active since May 02, 2011PECOS EnrolledAccepts Medicare Assignment
1110 SOUTH AVE, SUITE # 5, STATEN ISLAND, NY 10314(347) 273-1290(718) 227-6007 Get Directions Write a Review

NPPES record last updated: May 5, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jennifer Rose Feretic Psy.d. NPPES

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

DR. JENNIFER ROSE FERETIC PSY.D. (NPI 1649561184) is an individual psychologist in Staten Island, New York, licensed in New York (019048-1) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1649561184
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JENNIFER ROSE FERETICCredential: PSY.D.
Location Address1110 SOUTH AVE, SUITE # 5Staten Island, NY 10314-3403
Mailing Address1110 South Ave, Suite # 5Staten Island, NY 10314-3403 · (347) 273-1290 · Fax (718) 227-6007
Fax(718) 227-6007
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMay 2, 2011
Last NPPES UpdateMay 5, 2013
NPI 1649561184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 019048-1
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1110 SOUTH AVE, Staten Island, NY 10314

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer Rose Feretic Psy.d. 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 ID9335327063
PECOS Enrollment IDI20110629000233
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.

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.

Internal Medicine
1110 SOUTH AVE, SUITE 306
STATEN ISLAND, NY 10314
Internal Medicine
1110 SOUTH AVE, SUITE 306
STATEN ISLAND, NY 10314
Psychologist (Clinical)
1110 SOUTH AVE, SUITE 5
STATEN ISLAND, NY 10314
Physician Assistant
1110 SOUTH AVE, SUITE 306
STATEN ISLAND, NY 10314
Surgery
1110 SOUTH AVE
STATEN ISLAND, NY 10314
Psychologist
1110 SOUTH AVE, SUITE # 5
STATEN ISLAND, NY 10314
Counselor (Mental Health)
1110 SOUTH AVE, SUITE 5
STATEN ISLAND, NY 10314
Obstetrics & Gynecology (Gynecology)
1110 SOUTH AVE, SUITE306
STATEN ISLAND, NY 10314

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 Jennifer Feretic's NPI number?

The NPI number for Jennifer Feretic is 1649561184. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Where is Jennifer Feretic located?

Jennifer Feretic practices at 1110 South Ave Suite # 5, Staten Island, NY 10314. The listed phone number is (347) 273-1290.

What is Jennifer Feretic's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jennifer Feretic enrolled in Medicare?

Yes. Jennifer Feretic 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.

When was this NPI record last updated?

The NPPES record for Jennifer Feretic was last updated on May 5, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.