DR. JASON R FREDENBERG PSY.D
NPI 1689688285
Psychologist in Cairo, NY

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
905 GREENE CO OFFICE BLDG, GREENE CO MENTAL HEALTH CLINIC, CAIRO, NY 12413(518) 622-9163(518) 622-8592 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jason R Fredenberg Psy.d NPPES

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

DR. JASON R FREDENBERG PSY.D (NPI 1689688285) is an individual psychologist in Cairo, New York, licensed in New York (015573) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1689688285
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JASON R FREDENBERGCredential: PSY.D
Location Address905 GREENE CO OFFICE BLDG, GREENE CO MENTAL HEALTH CLINICCairo, NY 12413-2868
Mailing Address905 Greene Co Office Bldg, Greene Co Mental Health ClinicCairo, NY 12413-2868 · (518) 622-9163 · Fax (518) 622-8592
Fax(518) 622-8592
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1689688285 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 · 015573
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.
905 GREENE CO OFFICE BLDG, Cairo, NY 12413

Other Identifiers 1

Other015573NY · License No

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. Jason R Fredenberg 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 ID446142475
PECOS Enrollment IDI20040325001334
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.

Social Worker (Clinical)
905 GREENE CO OFFICE BLDG, GREENE CO MENTAL HEALTH
CAIRO, NY 12413
Social Worker
905 GREENE CO OFFICE BLDG, GREENE CO MENTAL HEALTH CLINIC
CAIRO, NY 12413
Social Worker
905 GREENE CO OFFICE BLDG, GREENE CO MENTAL HEALTH CLINIC
CAIRO, NY 12413
Registered Nurse
905 GREENE CO OFFICE BLDG, GREENE CO MENTAL HEALTH CLINIC
CAIRO, NY 12413
Social Worker
905 GREENE CO OFFICE BLDG, GREENE CO MENTAL HEALTH CLINIC
CAIRO, NY 12413
Social Worker
905 GREENE CO OFFICE BLDG, GREENE CO MENTAL HEALTH CLINIC
CAIRO, NY 12413
Registered Nurse
905 GREENE CO OFFICE BLDG, GREENE CO MENTAL HEALTH CLINIC
CAIRO, NY 12413
Registered Nurse
905 GREENE CO OFFICE BLDG, GREENE CO MENTAL HEALTH CLINIC
CAIRO, NY 12413

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 Jason Fredenberg's NPI number?

The NPI number for Jason Fredenberg is 1689688285. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Jason Fredenberg located?

Jason Fredenberg practices at 905 Greene Co Office Bldg Greene Co Mental Health Clinic, Cairo, NY 12413. The listed phone number is (518) 622-9163.

What is Jason Fredenberg's specialty?

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

Is Jason Fredenberg enrolled in Medicare?

Yes. Jason Fredenberg 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 Jason Fredenberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.