Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Fred Ronald Waxenberg

Individual provider Counseling Psychologist · NPI 1700484151

Dr. Fred Ronald Waxenberg is a Counseling Psychologist in Merrick, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

3001 Hewlett Ave
Merrick, NY 11566-5312
Phone: (516) 987-2351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 0006472 (NY)

Record details

NPI number1700484151
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 16, 2020
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing address3001 Hewlett Ave, Merrick, NY 11566-5312