Dr. Jennifer Wertovitch PSYD Psychologist PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DR. JENNIFER WERTOVITCH PSYD PSYCHOLOGIST PC

Practice address

9 Brunswick Rd
LK Ronkonkoma, NY 11779-1607

Phone

(631) 805-0323

NPI assigned

Aug 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Wertovitch, PSYDNPI 1538799010

Title

Owner/Operator

Phone

(631) 542-2649

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennifer Wertovitch, PsyD Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Jennifer Wertovitch, PSY.D.

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1538799010
  Medicare reassignment NPD Authorized official
• Eli Felt, PHD

  • Clinical Psychologist
  • Flushing, NY
  • NPI 1649824905
  NPD (past)

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1013740711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BRUNSWICK RD",
            "city": "LK RONKONKOMA",
            "state": "NY",
            "postal_code": "117791607",
            "telephone_number": "631-805-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BRUNSWICK RD",
            "city": "LK RONKONKOMA",
            "state": "NY",
            "postal_code": "117791607",
            "telephone_number": "631-805-0323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 Fire Island Ave",
            "address_purpose": "LOCATION",
            "city": "Babylon",
            "state": "NY",
            "postal_code": "117023531",
            "country_code": "US",
            "telephone_number": "631-542-2649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. JENNIFER WERTOVITCH PSYD PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "WERTOVITCH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "631-542-2649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jennifer Wertovitch, PsyD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Lynn Vaupel, R.N.

• Psychologist in LK Ronkonkoma, NY
• Providers in LK Ronkonkoma, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.