BRYANNA FATIGATE
NPI 1912770033
Psychologist in Brooklyn, NY

Active since October 31, 2023Opted out of Medicare · through Mar 23, 2028
72 MAUJER ST, BROOKLYN, NY 11206(631) 241-3492 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryanna Fatigate NPPES

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

BRYANNA FATIGATE (NPI 1912770033) is an individual psychologist in Brooklyn, New York and active in the NPI registry since October 2023. She has opted out of Medicare through March 23, 2028.

NPPES Registry Identity

NPI1912770033
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameBRYANNA FATIGATE
Location Address72 MAUJER STBrooklyn, NY 11206-1126
Mailing Address72 Maujer StBrooklyn, NY 11206-1126 · (631) 241-3492
Sole ProprietorNo
Enumeration DateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
NPI 1912770033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
72 MAUJER ST, Brooklyn, NY 11206

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Bryanna Fatigate 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 March 23, 2026 through March 23, 2028.

Opt-Out Effective DateMarch 23, 2026
Opt-Out In Effect ThroughMarch 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Bryanna Fatigate's NPI number?

The NPI number for Bryanna Fatigate is 1912770033. It was assigned to this individual provider in the NPPES registry on October 31, 2023.

Where is Bryanna Fatigate located?

Bryanna Fatigate practices at 72 Maujer St, Brooklyn, NY 11206. The listed phone number is (631) 241-3492.

What is Bryanna Fatigate's specialty?

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

Is Bryanna Fatigate enrolled in Medicare?

No. Bryanna Fatigate has opted out of Medicare through March 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Bryanna Fatigate was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.