Debra J Fruchtman, PHD in Albany, NY - Medicare Psychologist Provider

Debra J Fruchtman, PHD is a medicare enrolled "Psychologist - Clinical" provider in Albany, New York. Her current practice location is 75 New Scotland Ave, Cdpc, Albany, New York. You can reach out to her office (for appointments etc.) via phone at (518) 549-6929.

Debra J Fruchtman is licensed to practice in New York (license number 015911) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245351816.

Contact Information

	Debra J Fruchtman, PHD
	75 New Scotland Ave, Cdpc, Albany, NY 12208
	(518) 549-6929
	Not Available

Healthcare Provider's Profile

Full Name	Debra J Fruchtman
Gender	Female
Speciality	Psychologist - Clinical
Location	75 New Scotland Ave, Albany, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245351816
Provider Enumeration Date: 04/02/2007
Last Update Date: 12/08/2016

Medicare PECOS Information:

PECOS PAC ID: 2466701172
Enrollment ID: I20180814000536

Medical Identifiers

Medical identifiers for Debra J Fruchtman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245351816	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	015911 (New York)	Primary
103TC2200X	Psychologist - Clinical Child & Adolescent	015911-1 (New York)	Secondary
103TF0000X	Psychologist - Family	015911-1 (New York)	Secondary
103TP2701X	Psychologist - Group Psychotherapy	015911-1 (New York)	Secondary
103TS0200X	Psychologist - School	015911-1 (New York)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Debra J Fruchtman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Debra J Fruchtman, PHD 23 S Main St, Voorheesville, NY 12186-9679 Ph: (518) 469-2867	Debra J Fruchtman, PHD 75 New Scotland Ave, Cdpc, Albany, NY 12208 Ph: (518) 549-6929

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Psychologist in Albany, NY

Dr. Doreen Harris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 113 Holland Ave, Albany, NY 12208 Phone: 518-626-5405 Fax: 518-626-5556
Dr. Elizabeth Koropsak-berman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 45 Holmes Dl, Albany, NY 12203 Phone: 518-487-4208
Dr. Howard H Ferrin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1a Pine West Plz, Pine Bush Mental Health, Albany, NY 12205 Phone: 518-862-1665 Fax: 518-862-1668
Dr. Julia Margaretha Hormes, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 260 Washington Avenue Ext Ste 101, Albany, NY 12203 Phone: 518-218-1188
Joshua Garufi, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 113 Holland Ave, Albany, NY 12208 Phone: 518-626-5000
Phyllis Funari, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4 Central Ave, Albany, NY 12210 Phone: 800-275-3243 Fax: 800-275-3671
Dr. Elizabeth G Bradley, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 959 Washington Ave, Albany, NY 12206 Phone: 518-618-2387 Fax: 518-813-9291

Debra J Fruchtman, PHD - Medicare Psychologist in Albany, NY