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Deactivated NPI 1447532098 Deactivated / Inactive NPI Male Practitioner

Dr. Fredric R. Corb , PhD

Psychologist • Setauket, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Fredric Corb has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 09, 2011
NPI Deactivation Date October 30, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Fredric Corb, PhD was a registered Psychologist practicing in Setauket, NY. Throughout an active medical career spanning 13 years, Dr. Corb provided care at the practice location at 150 MAIN ST until profile deactivation on 2024-10-30.

Practice Location & Contact Primary Location

Practice Address

150 Main St

Setauket, NY 117332835

Telephone 6317518857

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Setauket, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Setauket, NY (5379 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NY 4951

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. William Mcmath , PhD

Psychologist - Clinical

NPI 1518979350

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 30, 2024

Record deactivated on October 30, 2024

NPI Profile Active September 09, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 09, 2011

Registered at 150 MAIN ST, SETAUKET, NY 117332835 (Tel: 6317518857)

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Updated Business Mailing Address September 09, 2011

Registered at 21 RIDGE DR E, GREAT NECK, NY 110211727 (Tel: 5164661810)

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Provider Name / Credentials Updated September 09, 2011

Recorded as FREDRIC CORB, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2011

Psychologist (License #4951 in NY)

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Initial NPI Registration & Enumeration September 09, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447532098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2011
Last Update: September 09, 2011
Deactivation Date: October 30, 2024

Mailing Address

21 Ridge Dr E

Great Neck, NY 110211727

Phone: 5164661810

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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