DR. JILL BACKFIELD-WEISS


Address: 220 East 54th St., Suite 1b, Office 3, New York, NY 10022
Phone: 2126916887

DR. JILL BACKFIELD-WEISS (NPI# 1073601761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073601761
Entity Type Individual
Full Name DR. JILL BACKFIELD-WEISS
Credential PHD
Practice Address 220 East 54th St.
Suite 1b, Office 3
New York
NY 10022
Practice Telephone 2126916887
Mailing Telephone 2126916887
Enumeration Date 2006-10-10
Last Update Date 2018-05-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
013025 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 0-1790261 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1123 Broadway, Suite 1111, New York, NY 100102007 2126916887

Office Location

Street Address 220 EAST 54TH ST.
SUITE 1B, OFFICE 3
City NEW YORK
State NY
Zip Code 10022

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10022

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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