Organization Active NPI

Jamie Ross, Licensed Marriage and Family Therapist, PLLC

  • Marriage & Family Therapist
  • Saint James, NY
National Provider Identifier
1003563131
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
JAMIE ROSS, LICENSED MARRIAGE AND FAMILY THERAPIST, PLLC
Practice address
220 Lake Ave Ste 1
Saint James, NY 11780-2979
Phone
(631) 312-7123
Fax
(631) 265-0757
NPI assigned
Mar 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jamie Ann Ross, LMFTNPI 1982926291
Title
Owner, LMFT
Phone
(631) 312-7123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

220 Lake Ave Ste 1
Saint James, NY 11780-2979

Mailing address

220 Lake Ave Ste 1
Saint James, NY 11780-2979
Phone (631) 312-7123

National Provider Directory

National Provider Directory

Locations

220 Lake Ave
Ste 1
Saint James, NY 11780
Phone (631) 265-0909

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1003563131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LAKE AVE STE 1",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802979",
            "telephone_number": "631-312-7123",
            "fax_number": "631-265-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LAKE AVE STE 1",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802979",
            "telephone_number": "631-312-7123",
            "fax_number": "631-265-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE ROSS, LICENSED MARRIAGE AND FAMILY THERAPIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, LMFT",
        "authorized_official_telephone_number": "631-312-7123",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.