Jordanne Sculler

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

012220 Issued in NY

Practice address

301 E 66TH St Apt 14G
New York, NY 10065-6218

Phone

(973) 809-0454

NPI assigned

Jan 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jordanne Sculler Licensed Mental Health Counselor

  • Adult Mental Health Clinic/Center
  • New York, NY
  • NPI 1629780069
  NPD Authorized official

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1124771332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 66TH ST APT 14G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656218",
            "telephone_number": "973-809-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 66TH ST APT 14G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656218",
            "telephone_number": "973-809-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLER",
        "first_name": "JORDANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P105625",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00906600",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Scuderi, MA
• Richard Scuderi, MD
• Peter Keyes Sculco, M.D
• Thomas Peter Sculco, M.D.
• Colin Scull
• Lizbeth Concetta Scullin, LCSW
• Ann Michele Scully, MSW
• Brian Edward Scully, M.D.
• Christine Scully
• Dianne Ruth Scully, PT, DPT, PCS

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.