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

Individual provider Clinical Psychologist · NPI 1710971064

Jonathan Fader, PHD is a Clinical Psychologist in New York, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

138 W 25th St Fl 10
New York, NY 10001-7470
Phone: (212) 335-2100
Fax: (646) 775-4142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 016156 (NY)

Record details

NPI number1710971064
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 1, 2005
Last updated in NPPESFebruary 14, 2021
Certification dateFebruary 14, 2021

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