Active NPI
Jennifer J Padrone, PSY.D.
- Clinical Psychologist
- Roslyn, NY
National Provider Identifier
1043382922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 015127
- Practice address
- 1025 Northern Blvd
Suite 100
Roslyn, NY 11576-1506 - Phone
- (516) 375-4176
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 015127 | NY | Primary |
Addresses
Primary practice location
1025 Northern Blvd
Suite 100
Roslyn, NY 11576-1506
Mailing address
1025 Northern Blvd
Suite 100
Roslyn, NY 11576-1506
Phone (516) 375-4176
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 552681 | Other | NY | VALUE OPTIONS |
| P3624355 | Other | NY | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043382922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 NORTHERN BLVD",
"address_2": "SUITE 100",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761506",
"telephone_number": "516-375-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 NORTHERN BLVD",
"address_2": "SUITE 100",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761506",
"telephone_number": "516-375-4176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADRONE",
"first_name": "JENNIFER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "552681",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3624355",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.