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Mr. John Fergus Fahy

Psychologist Clinical Psychologist Group Psychotherapist Rehabilitation Psychologist

2001 Dwight Way 5 North
Berkeley , California 94704-2608

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Mr. John Fergus Fahy

Psychologist Clinical Psychologist Group Psychotherapist Rehabilitation Psychologist

2001 Dwight Way 5 North
Berkeley , California 94704-2608

(510) 204-4655

Write a Review Save Call

Mr. John Fergus Fahy

Psychologist Clinical Psychologist Group Psychotherapist Rehabilitation Psychologist

2001 Dwight Way 5 North
Berkeley , California 94704-2608

(510) 204-4655 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Psychologist
  • Psychologist
  • Group Psychotherapist
  • Rehabilitation Psychologist

Languages spoken

  • English

Location

2001 Dwight Way 5 North Berkeley , California 94704-2608

First Address

  • Mr. John Fergus Fahy
  • 2001 Dwight Way 5 North
  • Berkeley, CA
  • Zip : 94704-2608
  • Fax : (510) 204-4655
  • Phone : (510) 204-4896

Second Address

  • Mr. John Fergus Fahy
  • 2001 Dwight Way 5 North
  • Berkeley, CA
  • Zip : 94704-2608
  • Fax : (510) 204-4655
  • Phone : (510) 204-4896

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FAQs


Where did Mr. John Fergus Fahy attend graduate school?

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Where did Mr. John Fergus Fahy do his residency?

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Where did Mr. John Fergus Fahy do his fellowship?

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Is Mr. John Fergus Fahy board certified?

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In what state does Mr. John Fergus Fahy practice in?

California

Where is Mr. John Fergus Fahy ’s practice located?

2001 Dwight Way 5 North , Berkeley, California, 94704-2608

What is Mr. John Fergus Fahy ’s gender?

Male

Is Mr. John Fergus Fahy a sole practitioner?

No

Is Mr. John Fergus Fahy accepting new patients?

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What languages does Mr. John Fergus Fahy speak?

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Does Mr. John Fergus Fahy accept insurance?

Yes, Mr. John Fergus Fahy accepts insurance

Does Mr. John Fergus Fahy offers telemedicine?

Mr. John Fergus Fahy has not indicated if he offers telemedicine

What is Mr. John Fergus Fahy ’s professional license number?

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What is Mr. John Fergus Fahy ’s NPI number?

1588702740

Does Mr. John Fergus Fahy have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 103G00000X Clinical Psychologist PSY14056 CA
N 103TC0700X Clinical Psychologist PSY14056 CA
N 102L00000X Psychologist PSY14056 CA
N 103T00000X Psychologist PSY14056 CA
N 103TP2701X Group Psychotherapist PSY14056 CA
N 103TR0400X Rehabilitation Psychologist PSY14056 CA

National Provider Identifier

NPI 1588702740
Provider Name Mr. John Fergus Fahy
First Address Berkeley, CA 94704-2608
Second Address Berkeley, CA 94704-2608
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 01/02/2007
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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