DR. JESSICA BRODSKY MACKLIN (NPI# 1174943781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174943781 |
| Entity Type | Individual |
| Full Name | DR. JESSICA BRODSKY MACKLIN |
| Credential | PSY.D. |
| Practice Address |
411 W 114th St New York NY 10025-1710 |
| Practice Telephone | 2125237227 |
| Mailing Telephone | 2125237227 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 020667 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861937567 | Jessica Macklin | Pharmacist | 8500 W Capitol Dr, Milwaukee, WI 53222-1869 | 2017-01-04 |
| 1750739694 | Jessica Macklin | Counselor | 511 Main St, #201, Oregon City, OR 97045-1830 | 2016-06-01 |
| Street Address |
411 W 114TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720013808 | John J Dilallo | Psychiatry & Neurology | 411 W 114th St, 2nd Floor, New York, NY 10025-1710 | 2006-07-11 |
| 1447732615 | Kristen Courtney | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2018-09-04 |
| 1912499294 | Margaret Rauen | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2018-06-03 |
| 1285151787 | Michael Reding | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2017-08-25 |
| 1770944407 | Mana Samghabadi | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2016-03-08 |
| 1144694563 | Andrew Shand | Social Worker | 411 W 114th St, New York, NY 10025-1710 | 2015-11-23 |
| 1205232980 | Alex Movahed | Social Worker | 411 W 114th St, New York, NY 10025-1710 | 2014-11-07 |
| 1497151229 | Zoe Reyes | Social Worker | 411 W 114th St, 3rd Floor, New York, NY 10025-1710 | 2014-11-05 |
| 1104232156 | Nadia Zein Hidayatallah | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2014-07-09 |
| 1821417437 | Gina Moffa | Social Worker | 411 W 114th St, Suite 417, New York, NY 10025-1710 | 2014-04-10 |
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| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
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| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
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| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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| 1740803089 | Ronald Joseph Saleh | Psychologist | 203 W 107th St Apt 9b, New York, NY 10025-3026 | 2020-05-21 |
| 1366062440 | Emily Bridget-polidore Reese | Psychologist | 11 Jay St Apt 3, New York, NY 10013-2847 | 2020-04-20 |
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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.