Jacquelyn Karah Wertel, MA, CAS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

1224 Ellsworth Blvd
Malta, NY 12020-3302

Phone

(518) 222-2684

NPI assigned

Jul 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1114598398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 ELLSWORTH BLVD",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120203302",
            "telephone_number": "518-222-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 ELLSWORTH BLVD",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120203302",
            "telephone_number": "518-222-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTEL",
        "first_name": "JACQUELYN",
        "middle_name": "KARAH",
        "credential": "MA, CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Grace Vogel, RN
• Kimberly White
• Bryan Hugh Williams, R.PH.
• Ellen Marie Williams, PHARM.D.
• Jennifer S Willwerth, LCSW
• Heidi J Worthman, RN

• School Psychologist in Malta, NY
• Providers in Malta, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.