DR. JENNIFER ROSE FERETIC PSY.D.
NPI 1649561184
Psychologist in Staten Island, NY
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
Specialties & Licenses
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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Feretic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Staten Island, NY 10314
- Reassigned Medicare billing, New York enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
STATEN ISLAND, NY 10314
STATEN ISLAND, NY 10314
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.
Which organization bills Medicare for Jennifer Feretic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Feretic reassigns Medicare benefits to Cognitive Therapy If Si Pysch Svcs & Lic Mental Health Counselor PLLC (Staten Island, 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 Jennifer Feretic'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 Jennifer Feretic was last updated on May 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.