Jill Thistlethwaite, Psychology, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

007451 Issued in NY

Legal business name

JILL THISTLETHWAITE, PSYCHOLOGY, PC

Doing business as

Jill Thistlethwaite, PhD

Practice address

156 5TH Ave
Suite 720
New York, NY 10010-7002

Phone

(212) 337-9596

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jill Thistlethwaite, PHDNPI 1407911902

Title

President

Phone

(212) 982-5247

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jill Thistlethwaite, PhD Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Jill Thistlethwaite, PH.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1407911902
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1063600047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 E 7TH ST",
            "address_2": "SUITE C-12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100096203",
            "telephone_number": "212-982-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 5TH AVE",
            "address_2": "SUITE 720",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107002",
            "telephone_number": "212-337-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL THISTLETHWAITE, PSYCHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "THISTLETHWAITE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-982-5247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "007451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01132934",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jill Thistlethwaite, PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frances Jih
• Hebah Jihad
• Mohammad Irfan Jilani, PHARMACIST
• Lily Jilk, DPT
• Jill P Kavaler MD PC
• Jillian E. Kaufman Psychotherapy & Consulting Services, LLC
• Jillien Kahn, Licensed Marriage and Family Therapist PLLC
• William L Jim, OTR/L
• Elizabeth Jo Ann Jimenez Douglas, PA
• Jimenez Family Dental

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.