Active NPI
Alexandra Jacowitz
- Psychologist
- Brooklyn, NY
National Provider Identifier
1033612007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 68P09725
- Practice address
- 88 N 1St St
Brooklyn, NY 11249-3936 - Phone
- (929) 239-4562
- NPI assigned
- Mar 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NY | ||
| Psychologist | 103T00000X | 68P09725 | NY | Primary |
Addresses
Primary practice location
88 N 1St St
Brooklyn, NY 11249-3936
Mailing address
88 N 1St St
Brooklyn, NY 11249-3936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68P09725 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1033612007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 N 1ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112493936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 N 1ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112493936",
"telephone_number": "929-239-4562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOWITZ",
"first_name": "ALEXANDRA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-15",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "68P09725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.