Active NPI
Jaclyn Ghamar, PSYD
- School Psychologist
- New York, NY
National Provider Identifier
1093137598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 020427
- Practice address
- 233 E 70TH St
8P
New York, NY 10021-5223 - Phone
- (516) 458-9177
- NPI assigned
- Jan 17, 2014
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 020427 | NY | Primary |
Addresses
Primary practice location
233 E 70TH St
8P
New York, NY 10021-5223
Mailing address
233 E 70TH St
8P
New York, NY 10021-5223
Phone (516) 458-9177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020427 | Other | NY | PSYCHOLOGIST LICENSE |
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 |
|---|---|---|---|
| 020427 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1093137598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 E 70TH ST",
"address_2": "8P",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215223",
"telephone_number": "516-458-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E 70TH ST",
"address_2": "8P",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215223",
"telephone_number": "516-458-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAMAR",
"first_name": "JACLYN",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-17",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "020427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST LICENSE",
"identifier": "020427",
"state": "NY"
}
],
"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 Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.