Jena Elise Iannuzzelli, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS016444 Issued in PA

Practice address

331 W State St
Media, PA 19063-2615

Phone

(610) 565-0515

Fax

(610) 566-4141

NPI assigned

Feb 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1053633131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 W STATE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632615",
            "telephone_number": "610-565-0515",
            "fax_number": "610-566-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W STATE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632615",
            "telephone_number": "610-565-0515",
            "fax_number": "610-566-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNUZZELLI",
        "first_name": "JENA",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016444",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0000783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John William Hutchinson, D.M.D
• Linh Huynh, PHARMD
• Rosalia Hyatt, MD
• Michele A. Hyman, PSYD
• Jane E Iannuzzelli, MA., MED
• David Joseph Impagliazzo
• Independence Homecare - Philadelphia LLC
• Inspiris of Pennsylvania Medical Services, P.C.
• Lea Michelle Isaac, D.O.
• Patricia Nikitin Ischiropoulos, MD

• Clinical Psychologist in Media, PA
• Providers in Media, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.