DR. JACQUELINE SUE DEGROAT (NPI# 1073843462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073843462 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE SUE DEGROAT |
| Credential | M.S.ED., PSY.D. |
| Practice Address |
816 Ditmas Ave Brooklyn NY 11218-5204 |
| Practice Telephone | 7185311800 |
| Practice Fax Number | 7188595909 |
| Mailing Telephone | 7185311800 |
| Mailing Fax Number | 7188595909 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
018431-1 | NY | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
NY | Behavioral Health & Social Service Providers |
| Street Address |
816 DITMAS AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11218-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161410 | Sigit LLC | In Home Supportive Care | 1132 39 St, Basement, Brooklyn, NY 11218 | 2020-10-13 |
| 1073127338 | Mushka Sternbach | Specialist | 312-38 Street, Brooklyn, NY 11218 | 2020-09-03 |
| 1659989614 | Sara Montag | Specialist | Yeled V'yaldas 1312 38th Street, Brooklyn, NY 11218 | 2020-07-16 |
| 1922626936 | Benzion Fuhrer | Specialist | Yeled Vyalda, 1312 38 St, Brooklyn, NY 11218 | 2020-07-07 |
| 1326665209 | Sara Rosenberg | Specialist | Yeled V' Yalda, 1312-38 Street, Brooklyn, NY 11218 | 2020-06-26 |
| 1831714690 | Estee Goldberg-lieblich | Specialist | Y'eled V'yalda, 1312 38th St., Brooklyn, NY 11218 | 2020-06-08 |
| 1659915213 | Esther M Schon | Specialist | Yeled V'yalda's 1312- 38 Street, Brooklyn, NY 11218 | 2019-11-06 |
| 1902464597 | Malky Wallerstein | Specialist | Yeled V'yalda's 1312 38th Street, Brooklyn, NY 11218 | 2019-05-30 |
| 1457817900 | Rut Munk | Specialist | Yeled V' Yalda's, 1312 38 Street, Brooklyn, NY 11218 | 2019-02-20 |
| 1073089405 | Bracha Yagudaev | Specialist | Yeled V'yalda's 1312-38 Street, Brooklyn, NY 11218 | 2018-10-24 |
| Find all providers in zip 11218 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922630631 | Juliet Lisa Collingwood | Psychologist | 471 13th St, Brooklyn, NY 11215-5206 | 2020-02-11 |
| 1013488766 | Harvey Zeichner | Psychologist | 186 Joralemon St Fl 2, Brooklyn, NY 11201-4326 | 2018-12-06 |
| 1487019097 | Paul Mccabe | Psychologist | 427 7th Ave, #2, Brooklyn, NY 11215-7359 | 2015-12-24 |
| 1801201074 | James Poole | Psychologist | 278 Humboldt St, Apt 4r, Brooklyn, NY 11206 | 2014-06-26 |
| 1215291281 | Kristin Klahr | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2012-06-25 |
| 1568628535 | Kathryn Leigh Clark | Psychologist | 100 8th Ave, Brooklyn, NY 11215-1554 | 2008-07-30 |
| 1538368477 | Leona M. Jaglom | Psychologist | 102 Garfield Pl, Brooklyn, NY 11215-2003 | 2007-07-11 |
| 1396844924 | Yelena Razdolskaya | Psychologist | 2785 W 5th St Apt 10e, Brooklyn, NY 11224-4612 | 2006-09-21 |
| 1487268074 | Brittany Bess | Psychologist | 483 Clermont Ave, Brooklyn, NY 11238-2253 | 2020-09-02 |
| 1083199616 | Vivian Song | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2018-09-29 |
| Find all providers in BROOKLYN | ||||
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| 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.