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

Dr. Jason R Fredenberg, PSYD

Individual provider Psychologist · NPI 1689688285

Dr. Jason R Fredenberg, PSYD is a Clinical Psychologist in Cairo, New York. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

905 Greene Co Ofc Bldg Greene CO Mental Health Clinic
Cairo, NY 12413-2868
Phone: (518) 622-9163
Fax: (518) 622-8592
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 015573 (NY)

Record details

NPI number1689688285
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing address905 Greene Co Office Bldg, Greene Co Mental Health Clinic, Cairo, NY 12413-2868

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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