JESSICA LAUREN RANDEL (NPI# 1598382145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598382145 |
| Entity Type | Individual |
| Full Name | JESSICA LAUREN RANDEL |
| Credential | M.S. |
| Practice Address |
142 Joralemon St Ste 3e Brooklyn NY 11201-4709 |
| Mailing Address |
348 E 81st St Apt 2b New York NY 10028-3940 |
| Practice Telephone | 7189350400 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care |
| Street Address |
142 JORALEMON ST STE 3E |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-4709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215291281 | Kristin Klahr | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2012-06-25 |
| 1518571611 | Angela M Dewey | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2020-09-04 |
| 1902448129 | Margolis Psychology P.C. | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2019-10-09 |
| 1699326082 | Caroline Southwick | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2019-09-26 |
| 1467006791 | Rachel Ganz | Clinical Neuropsychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2019-07-25 |
| 1417423617 | Kate Terranova | Technician, Other | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2018-10-16 |
| 1083199616 | Vivian Song | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2018-09-29 |
| 1730668948 | Jiwon Yoo | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2018-08-08 |
| 1366928657 | Chrystal Gray | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2018-07-19 |
| 1295263739 | Tara Nasir Gore | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201 | 2017-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770266 | Fahad Gul Khan | Student in an Organized Health Care Education/Training Program | 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 | 2020-11-02 |
| 1093313355 | Nanyamkah Jacquella Washington | Student in an Organized Health Care Education/Training Program | 280 Sterling St, Brooklyn, NY 11225-4113 | 2020-10-09 |
| 1750996476 | Charlotte Berthe Scott | Student in an Organized Health Care Education/Training Program | 543 Quincy St Apt 1, Brooklyn, NY 11221-6981 | 2020-09-10 |
| 1336751429 | Chhabilal Bastola | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # Im, Brooklyn, NY 11213-1122 | 2020-08-19 |
| 1710599840 | Saujan Devkota | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave Apt 1b, Brooklyn, NY 11213-1122 | 2020-08-19 |
| 1831709260 | Taimy Falcon-rodriguez | Student in an Organized Health Care Education/Training Program | 142 Jefferson Ave Apt 1, Brooklyn, NY 11216-5909 | 2020-07-31 |
| 1720697048 | Elli Jacob Matatov | Student in an Organized Health Care Education/Training Program | 714 E 9th St, Brooklyn, NY 11230-2202 | 2020-07-23 |
| 1639797178 | Alessia Field | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave Suny Downstate, Department of Obstetrics and Gynecology-msc24, Brooklyn, NY 11203-2012 | 2020-07-10 |
| 1124645361 | Danielle Bensimhon Greco | Student in an Organized Health Care Education/Training Program | 132 Remsen St, Brooklyn, NY 11201-4275 | 2020-07-04 |
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
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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.