DR. KAY ELLEN JACKSON (NPI# 1417127945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417127945 |
| Entity Type | Individual |
| Full Name | DR. KAY ELLEN JACKSON |
| Credential | PH. D. |
| Practice Address |
214 W 29th St Suite 703 New York NY 10001-5203 |
| Practice Telephone | 2125647631 |
| Mailing Telephone | 2125647631 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2017-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 012747-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPPES | 1417127945 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992933477 | Kay Lyn Jackson | Licensed Practical Nurse | 30 Montgomery Ave, Mastic, NY 11950-2606 | 2009-06-23 |
| 1336559632 | Kay Ellen Jackson | Pharmacist | 1005 E 13 Mile Rd, Madison Hts, MI 48071-1533 | 2014-05-07 |
| 1811162951 | Kay Jackson | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2008-04-29 |
| Street Address |
214 W 29TH ST SUITE 703 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10001-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659446714 | Daniel P Kennedy | Chiropractor | 214 W 29th St, Ste# 205, New York, NY 10001-5203 | 2006-11-22 |
| 1073024139 | Alyssa Jetaun Cose-primus | Social Worker | 214 W 29th St, New York, NY 10001-5203 | 2017-10-17 |
| 1225578800 | Steve Vouyiouklis | Physical Therapist | 214 W 29th St, New York, NY 10001-5203 | 2017-03-02 |
| 1699213710 | Olta Hoxha | Counselor | 214 W 29th St, Suite 703, New York, NY 10001-5203 | 2017-02-09 |
| 1043758204 | Rosalyn Jimenez | Counselor | 214 W 29th St, Suite 703, New York, NY 10001-5203 | 2017-02-08 |
| 1184168544 | Karan Datta | Physical Therapist | 214 W 29th St, Suite Number 901, New York, NY 10001-5203 | 2016-12-05 |
| 1700335684 | Symbio Pro Pt | Physical Therapist | 214 W 29th St, 901, New York, NY 10001-5203 | 2016-10-03 |
| 1134676240 | Jacqueline Mendelsohn | Physical Therapist | 214 W 29th St, Suite 901, New York, NY 10001-5203 | 2016-09-07 |
| 1518322494 | Elizabeth Henderson | Counselor | 214 W 29th St, Suite 703, New York, NY 10001 | 2015-12-21 |
| 1467880823 | Laura Boylan | Counselor | 214 W 29th St, Suite 703, New York, NY 10001-5203 | 2013-10-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627989 | Sable Tempest Sweeper | Counselor | 31 West 34th Street, 7th Floor #7058, New York, NY 10001 | 2020-10-22 |
| 1295351948 | Basha Gillian Silver | Psychologist | 544 Fifth Avenue, 10th Floor, New York, NY 10001 | 2020-06-18 |
| 1881219038 | Janice Elizabeth Williams, L.c.s.w., P.C. | Social Worker | 244 5th Ave, Suite W218, New York, NY 10001 | 2020-06-13 |
| 1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
| 1043831522 | Anderson Hong | Counselor | 352 7th Avenue, Suite 1604, New York, NY 10001 | 2020-05-06 |
| 1689207193 | Emely Castillo | Registered Nurse | 116 W 32nd St, New York, New York, New York, NY 10001 | 2020-02-13 |
| 1447890629 | William Howard Critzman IIi | Clinic/Center | 7 W 30th St. 10th Floor, New York, NY 10001 | 2020-01-15 |
| 1811533201 | Jacqueline Furst | Social Worker | 138 West 25th Street, 6th Floor, /suite 22, New York, NY 10001 | 2019-11-21 |
| 1477196236 | Midtown Applied Medicine,pc | Psychiatry & Neurology | 244 5th Avenu, Ste 2095, Ste 2095, New York, NY 10001 | 2019-10-24 |
| 1437709896 | Hannah Murray Starobin | Social Worker | 302 5th Avenue, 8th Floor #2, New York City, NY 10001 | 2019-09-18 |
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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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1346852514 | Alicia Eminia Ramirez | Psychologist | 319 E 14th St Apt 1b, New York, NY 10003-4227 | 2020-08-19 |
| 1386253144 | Rachel L Adams | Psychologist | 270 Fort Washington Ave Apt 42, New York, NY 10032-1310 | 2020-07-28 |
| 1588281851 | Rachel Lynn Goldman | Psychologist | 315 E 62nd St Rm 5, New York, NY 10065-7767 | 2020-07-02 |
| 1558987941 | Kevin Rustam | Psychologist | 100 W 18th St Apt 5f, New York, NY 10011-5475 | 2020-06-22 |
| 1285250035 | Yaakov Weiner | Psychologist | 215 W 108th St Apt B2, New York, NY 10025-2982 | 2020-06-17 |
| 1790308864 | Ayelet Boussi | Psychologist | 270 Lafayette St Ste 702, New York, NY 10012-3384 | 2020-05-24 |
| 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.