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JONATHAN FADER PHD
NPI 1710971064
Psychologist - Clinical in New York, NY

Active since September 01, 2005PECOS Enrolled
138 W 25TH ST FL 10, NEW YORK, NY 10001(212) 335-2100(646) 775-4142 Get Directions Write a Review

NPPES record last updated: February 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Fader Phd NPPES

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

JONATHAN FADER PHD (NPI 1710971064) is an individual clinical provider in New York, New York, licensed in New York (016156) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710971064
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJONATHAN FADERCredential: PHD
Location Address138 W 25TH ST FL 10New York, NY 10001-7470
Mailing Address138 W 25th St Fl 10New York, NY 10001-7470 · (212) 335-2100 · Fax (646) 775-4142
Phone(212) 335-2100
Fax(646) 775-4142
Sole ProprietorNo
Enumeration DateSeptember 1, 2005
Last NPPES UpdateFebruary 14, 2021
NPPES CertifiedFebruary 14, 2021
✔ NPI 1710971064 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 · 016156
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.
138 W 25TH ST FL 10, New York, NY 10001
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Fader Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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.

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.

DELIA CUMBA PHD
Psychologist (Clinical Child & Adolescent)
138 W 25TH ST FL 10
NEW YORK, NY 10001
New York County (212) 335-2100
JEFFREY MICHAEL LEVIN LCSW
Social Worker (Clinical)
138 W 25TH ST FL 10
NEW YORK, NY 10001
New York County (646) 242-4160
JEREMY RAHN MHC
Counselor (Mental Health)
138 W 25TH ST FL 10
NEW YORK, NY 10001
New York County (212) 335-2100
MICHAEL DULCHIN, MD, PC
Psychiatry & Neurology (Psychiatry)
138 W 25TH ST FL 10
NEW YORK, NY 10001
New York County (212) 335-2100
LAURA PARET PHD
Psychologist (Clinical Child & Adolescent)
138 W 25TH ST FL 10
NEW YORK, NY 10001
New York County (212) 335-2100
DR. NICOLE S COOPER PH.D.
Psychologist (Clinical)
138 W 25TH ST FL 10
NEW YORK, NY 10001
New York County (212) 335-2100
SOPHIA PAVLATOS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
138 W 25TH ST FL 10
NEW YORK, NY 10001
New York County (212) 335-2100
FLORENCE ELIZABETH LEIGHTON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
138 W 25TH ST FL 10
NEW YORK, NY 10001
New York County (212) 335-2100

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 Jonathan Fader's NPI number?

The NPI number for Jonathan Fader is 1710971064. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Jonathan Fader located?

Jonathan Fader practices at 138 W 25th St Fl 10, New York, NY 10001. The listed phone number is (212) 335-2100.

What is Jonathan Fader's specialty?

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

Is Jonathan Fader enrolled in Medicare?

Yes. Jonathan Fader is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Fader was last updated on February 14, 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.