NPIMap

Organization Active NPI

Avena Psychological Services PLLC

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1043896244
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
AVENA PSYCHOLOGICAL SERVICES PLLC
Practice address
226 E 85TH St Apt 6C
New York, NY 10028-3099
Phone
(302) 463-7889
NPI assigned
Mar 19, 2021
Last updated
Mar 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Dr. Jolie Anne Avena, PSYDNPI 1982144846
Title
Director
Phone
(302) 463-7889

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
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

226 E 85TH St Apt 6C
New York, NY 10028-3099

Mailing address

226 E 85TH St Apt 6C
New York, NY 10028-3099
Phone (302) 463-7889

National Provider Directory

National Provider Directory
Tax ID family
Avena Psychological Services PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

344 Grove St
Ste 4001
Jersey City, NJ 07302

99 Wall St
Ste 4224
New York, NY 10005

99 Wall St
Ste 4424
New York, NY 10005

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1043896244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E 85TH ST APT 6C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283099",
            "telephone_number": "302-463-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E 85TH ST APT 6C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283099",
            "telephone_number": "302-463-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENA PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "AVENA",
        "authorized_official_first_name": "JOLIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-463-7889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.