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

Individual provider Psychologist · NPI 1649561184

Dr. Jennifer Rose Feretic, PSYD is a Clinical Psychologist in Staten Island, New York. Qualified in 2007, 19 years ago. Practices with Cognitive Therapy If Si Pysch Svcs and Lic Mental Health Counselor Pll, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2011
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

1110 S Ave Ste # 5
Staten Island, NY 10314-3403
Phone: (347) 273-1290
Fax: (718) 227-6007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 019048-1 (NY)

Record details

NPI number1649561184
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedMay 2, 2011
Last updated in NPPESMay 5, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Cognitive Therapy If Si Pysch Svcs And Lic Mental Health Counselor Pll — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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