DR. JACLYN M LEVY (NPI# 1851956338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851956338 |
| Entity Type | Individual |
| Full Name | DR. JACLYN M LEVY |
| Credential | PH.D |
| Practice Address |
611 Broadway Rm 718 New York NY 10012-2649 |
| Mailing Address |
611 Broadway New York NY 10012-2608 |
| Practice Telephone | 5168356765 |
| Mailing Telephone | 5164470733 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
023209 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
023209 | NY | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
023209 | NY | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
023209 | NY | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
023209 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 26 Court St Ste 610, Brooklyn, NY 112421106 | 5168356765 | |
| 275 Webster Ave Apt 3e, Brooklyn, NY 112301232 | 5168356765 | |
| 611 Broadway Rm 718, New York, NY 100122649 | 5168356765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932617198 | Jaclyn Levy | Counselor | 4211 W 11th Ave, Eugene, OR 97402-5435 | 2018-01-22 |
| Street Address |
611 BROADWAY RM 718 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10012-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710132006 | Marilina Rufino | Psychologist | 611 Broadway Rm 718, New York, NY 10012-2649 | 2008-12-01 |
| 1720330079 | Lorena Escoriaza | Psychologist | 611 Broadway Rm 718, New York, NY 10012 | 2012-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481514 | John James Makohen | Counselor | Greenwish House Mmtp, 190 Mercer St, New York, NY 10012 | 2020-09-09 |
| 1962016980 | Aliceia Dolma Carin | Acupuncturist | 51 Spring St #14, New York, NY 10012 | 2020-09-08 |
| 1073127544 | Stacy E Garrity | Nurse Practitioner | 453 W Broadway, New York, NY 10012 | 2020-09-02 |
| 1558863761 | Shurla S Perry | Counselor | 96 W Houston St, New York, NY 10012 | 2018-03-03 |
| 1295246361 | Charlotta Noelle Nutley-phillips | Speech-Language Pathologist | 654 Broadway #2f, 654 Broadway, New York, NY 10012 | 2017-10-17 |
| 1023496163 | Kelley Pauline Hershman | Counselor | 159 Bleecker St Apt 2a, New York, NY 10012 | 2015-05-08 |
| 1134514599 | Frank Joseph Vogt | Acupuncturist | 73 Spring St., Suite 201, New York, NY 10012 | 2015-04-02 |
| 1063816932 | Howard Schatz | Orthopaedic Surgery | 435 West Broadway, #2, New York, NY 10012 | 2014-10-21 |
| 1649680737 | Charlotte Aronin Birnbaum | Dermatology | 73 Spring Street, Suite 303, New York, NY 10012 | 2014-04-29 |
| 1841600988 | Jeffrey Cohen Mental Health Counseling, P.C. | Counselor | 14 East 4th Street, Suite 506, New York, NY 10012 | 2014-04-29 |
| Find all providers in zip 10012 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1114534757 | Joshua Andrew Haag | Psychologist | 100 Beekman St Apt 5m, New York, NY 10038-0052 | 2020-09-28 |
| 1164037909 | Katherine Louise Rachlin | Psychologist | 708 Greenwich St Apt 5b, New York, NY 10014-2598 | 2020-09-09 |
| 1538773916 | Melanie Love | Psychologist | 75 West St Apt 5h, New York, NY 10006-1793 | 2020-09-03 |
| 1952914335 | Danielle Landau | Psychologist | 127 W 96th St Apt 12e, New York, NY 10025-6482 | 2020-08-26 |
| 1265045744 | Jennifer A Drapkin | Psychologist | 136 W 71st St Apt 4f, New York, NY 10023-4024 | 2020-08-25 |
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1033729686 | Colleen Cook Flannery | Psychologist | 53 E 96th St # 1, New York, NY 10128-0813 | 2020-08-07 |
| Find all providers in NEW YORK | ||||
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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.